| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
677 |
677 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
828 |
825 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
473 |
448 |
$20K |
| 92015 |
Determination of refractive state |
1,099 |
1,096 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
222 |
197 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
55 |
$3K |
| 92133 |
|
89 |
89 |
$2K |
| 92025 |
|
14 |
14 |
$311.82 |