| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92065 |
|
1,133 |
349 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
75 |
75 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
71 |
69 |
$4K |
| 92015 |
Determination of refractive state |
238 |
237 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
30 |
30 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$424.32 |