| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,293 |
5,427 |
$289K |
| 92250 |
|
6,142 |
5,304 |
$160K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,373 |
2,034 |
$155K |
| 92015 |
Determination of refractive state |
8,016 |
6,964 |
$73K |
| 92310 |
|
1,937 |
1,737 |
$39K |
| 92133 |
|
743 |
666 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
520 |
398 |
$14K |
| 92134 |
|
961 |
797 |
$13K |
| 92285 |
|
878 |
725 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
114 |
$5K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
28 |
28 |
$2K |