| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
657 |
654 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
129 |
127 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
251 |
240 |
$10K |
| 92015 |
Determination of refractive state |
677 |
674 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
74 |
$3K |
| 92133 |
|
13 |
13 |
$220.44 |