| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
874 |
870 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
624 |
621 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
218 |
217 |
$12K |
| 92083 |
|
355 |
351 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
429 |
423 |
$12K |
| 68761 |
|
52 |
52 |
$4K |
| 92133 |
|
80 |
80 |
$2K |
| 92020 |
|
79 |
79 |
$876.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$431.23 |
| 92015 |
Determination of refractive state |
241 |
241 |
$0.00 |