| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,458 |
2,081 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
831 |
756 |
$55K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
944 |
826 |
$27K |
| 99233 |
Prolong inpt eval add15 m |
400 |
159 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
282 |
265 |
$17K |
| 92201 |
|
680 |
363 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110 |
110 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
41 |
25 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
27 |
$2K |
| 92015 |
Determination of refractive state |
33 |
27 |
$601.20 |