| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,207 |
1,195 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
424 |
404 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
132 |
$4K |
| 92250 |
|
111 |
111 |
$2K |
| 92083 |
|
50 |
50 |
$721.27 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
44 |
$656.14 |
| 68761 |
|
12 |
12 |
$469.68 |
| 92134 |
|
36 |
36 |
$225.18 |
| 92133 |
|
13 |
13 |
$86.26 |
| 92015 |
Determination of refractive state |
66 |
66 |
$6.30 |