| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,839 |
1,835 |
$100K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
253 |
252 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
485 |
455 |
$18K |
| 92015 |
Determination of refractive state |
1,246 |
1,237 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
326 |
298 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
175 |
$10K |
| 92083 |
|
81 |
81 |
$3K |
| 92133 |
|
119 |
117 |
$3K |
| 92250 |
|
50 |
50 |
$1K |
| 92020 |
|
27 |
27 |
$371.29 |