| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
797 |
796 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
489 |
488 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
131 |
131 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
168 |
166 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
137 |
132 |
$4K |
| 92083 |
|
54 |
54 |
$2K |
| 92015 |
Determination of refractive state |
139 |
139 |
$0.00 |