| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,605 |
1,604 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
944 |
943 |
$46K |
| 92015 |
Determination of refractive state |
3,314 |
3,312 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
691 |
650 |
$15K |
| 92250 |
|
50 |
50 |
$999.40 |
| 92083 |
|
15 |
15 |
$302.04 |
| 92133 |
|
13 |
13 |
$274.26 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$214.80 |