| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,904 |
3,715 |
$403K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,625 |
2,554 |
$270K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,104 |
1,918 |
$173K |
| 92082 |
|
1,556 |
1,501 |
$60K |
| 92133 |
|
976 |
941 |
$32K |
| 92250 |
|
986 |
967 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
235 |
226 |
$23K |
| 92015 |
Determination of refractive state |
1,074 |
1,045 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
130 |
$8K |
| 76514 |
|
594 |
586 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$954.36 |
| 92083 |
|
13 |
12 |
$833.99 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$493.86 |
| 3072F |
|
924 |
802 |
$0.00 |