| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,607 |
2,546 |
$171K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,235 |
2,191 |
$119K |
| 92015 |
Determination of refractive state |
5,527 |
5,342 |
$86K |
| 92250 |
|
795 |
755 |
$54K |
| 92002 |
|
186 |
167 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83 |
79 |
$3K |
| 92285 |
|
135 |
129 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
77 |
77 |
$3K |
| 92133 |
|
49 |
49 |
$2K |
| 92020 |
|
21 |
19 |
$560.00 |