| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,614 |
15,599 |
$1.58M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12,228 |
12,228 |
$1.53M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16,672 |
16,324 |
$1.18M |
| 92015 |
Determination of refractive state |
33,461 |
33,437 |
$580K |
| 92060 |
|
10,805 |
10,788 |
$567K |
| 92002 |
|
1,526 |
1,526 |
$107K |
| 67311 |
|
180 |
180 |
$94K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,096 |
648 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
416 |
416 |
$59K |
| 99221 |
|
560 |
560 |
$44K |
| 92201 |
|
1,875 |
1,158 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
44 |
$5K |
| 92250 |
|
29 |
29 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$879.89 |
| 92226 |
|
12 |
12 |
$158.44 |