| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
533 |
454 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
316 |
256 |
$31K |
| 92015 |
Determination of refractive state |
458 |
355 |
$8K |
| 92060 |
|
213 |
206 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
40 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20 |
14 |
$683.74 |