| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,073 |
1,028 |
$69K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
875 |
872 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
464 |
463 |
$59K |
| 92083 |
|
937 |
932 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
411 |
$39K |
| 92250 |
|
828 |
828 |
$21K |
| 92133 |
|
736 |
731 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
106 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181 |
181 |
$12K |
| 92134 |
|
486 |
479 |
$11K |
| 68761 |
|
24 |
12 |
$2K |
| 76513 |
|
28 |
24 |
$2K |
| 92136 |
|
53 |
45 |
$2K |
| 92020 |
|
55 |
55 |
$869.40 |
| 76514 |
|
81 |
81 |
$574.93 |
| 99024 |
|
540 |
316 |
$0.00 |