| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
705 |
699 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
322 |
322 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
462 |
435 |
$9K |
| 92015 |
Determination of refractive state |
1,135 |
951 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
225 |
210 |
$5K |
| 92250 |
|
49 |
49 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$750.52 |