| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
2,589 |
1,985 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,453 |
1,122 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
759 |
661 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,105 |
644 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
603 |
446 |
$11K |
| 92134 |
|
867 |
557 |
$10K |
| 92015 |
Determination of refractive state |
320 |
287 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
322 |
239 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
172 |
114 |
$4K |
| 92133 |
|
115 |
82 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
45 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
26 |
$1K |
| 92201 |
|
75 |
64 |
$921.83 |
| 92226 |
|
77 |
41 |
$594.78 |
| 92083 |
|
13 |
12 |
$516.84 |
| 92202 |
|
65 |
56 |
$456.47 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
34 |
19 |
$20.53 |