| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,186 |
10,181 |
$714K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,124 |
8,119 |
$685K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,763 |
7,259 |
$360K |
| 92015 |
Determination of refractive state |
18,780 |
18,766 |
$213K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,220 |
3,095 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
397 |
344 |
$31K |
| 92060 |
|
448 |
443 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
147 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
211 |
133 |
$11K |
| 92201 |
|
580 |
413 |
$8K |
| 67311 |
|
12 |
12 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
382 |
380 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
45 |
$3K |
| 99201 |
|
46 |
46 |
$1K |