| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,753 |
1,753 |
$189K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,303 |
1,303 |
$167K |
| 92015 |
Determination of refractive state |
3,110 |
3,109 |
$55K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
248 |
248 |
$18K |
| 92250 |
|
87 |
87 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
14 |
$1K |