| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,037 |
3,000 |
$160K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
695 |
693 |
$49K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
282 |
268 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
213 |
189 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
231 |
$9K |
| 92015 |
Determination of refractive state |
110 |
110 |
$1K |
| 92083 |
|
12 |
12 |
$229.99 |
| 92134 |
|
12 |
12 |
$167.04 |