| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,287 |
3,283 |
$283K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,420 |
1,417 |
$90K |
| 92015 |
Determination of refractive state |
4,885 |
4,874 |
$70K |
| 92250 |
|
1,298 |
1,296 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
68 |
66 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
55 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14 |
13 |
$665.70 |
| 92134 |
|
12 |
12 |
$424.20 |