| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,771 |
1,768 |
$244K |
| 68761 |
|
2,336 |
1,061 |
$205K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,792 |
1,782 |
$198K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,272 |
1,963 |
$172K |
| 92250 |
|
1,942 |
1,937 |
$65K |
| 92083 |
|
1,124 |
1,110 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
719 |
647 |
$52K |
| 92015 |
Determination of refractive state |
2,633 |
2,625 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
216 |
216 |
$34K |
| 92285 |
|
1,739 |
1,670 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
179 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$2K |
| 92060 |
|
12 |
12 |
$744.78 |
| 92133 |
|
24 |
24 |
$701.72 |