| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,164 |
1,151 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,488 |
1,456 |
$54K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
888 |
859 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
596 |
592 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
226 |
225 |
$23K |
| 92250 |
|
753 |
745 |
$16K |
| 92134 |
|
541 |
539 |
$9K |
| 92083 |
|
170 |
166 |
$5K |
| 92133 |
|
158 |
154 |
$3K |
| 92136 |
|
27 |
25 |
$639.65 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
29 |
28 |
$500.00 |
| V2020 |
Frames, purchases |
57 |
57 |
$424.50 |