| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,261 |
1,139 |
$46K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
741 |
710 |
$36K |
| 92015 |
Determination of refractive state |
1,276 |
1,195 |
$22K |
| 99243 |
|
67 |
60 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$422.88 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$364.57 |
| 92083 |
|
12 |
12 |
$266.11 |