| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,385 |
1,324 |
$61K |
| 92015 |
Determination of refractive state |
2,054 |
1,964 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
170 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
76 |
76 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
87 |
85 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$363.65 |
| 76519 |
|
12 |
12 |
$297.88 |