| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,483 |
1,294 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
262 |
259 |
$12K |
| 92015 |
Determination of refractive state |
143 |
142 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
101 |
86 |
$2K |
| 68761 |
|
95 |
90 |
$2K |
| 92020 |
|
273 |
270 |
$2K |
| 92225 |
|
102 |
100 |
$2K |
| 92201 |
|
184 |
184 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
29 |
$720.63 |
| 92134 |
|
30 |
30 |
$464.13 |
| 92083 |
|
54 |
54 |
$461.61 |
| 76514 |
|
92 |
92 |
$459.12 |
| 92133 |
|
40 |
40 |
$307.38 |
| 92226 |
|
14 |
14 |
$132.20 |
| 92285 |
|
14 |
14 |
$16.08 |