| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
508 |
487 |
$7K |
| 92250 |
|
73 |
71 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
129 |
$2K |
| 65800 |
|
28 |
24 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$816.30 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
338 |
321 |
$751.68 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$498.08 |
| 92015 |
Determination of refractive state |
27 |
23 |
$54.00 |