| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,348 |
2,341 |
$135K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,338 |
1,337 |
$97K |
| 92015 |
Determination of refractive state |
2,940 |
2,940 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
432 |
398 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$2K |
| 92002 |
|
12 |
12 |
$414.96 |
| 92083 |
|
12 |
12 |
$255.96 |
| 92133 |
|
13 |
13 |
$223.99 |