| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,387 |
1,268 |
$94K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
934 |
847 |
$83K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
525 |
478 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
889 |
640 |
$38K |
| 92250 |
|
1,694 |
1,534 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
365 |
325 |
$20K |
| 92133 |
|
398 |
347 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
81 |
$7K |
| 92015 |
Determination of refractive state |
1,545 |
1,429 |
$5K |
| 92060 |
|
94 |
82 |
$4K |
| 92134 |
|
234 |
215 |
$3K |
| 92083 |
|
116 |
98 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
20 |
12 |
$0.00 |