| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
365 |
364 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
81 |
81 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
134 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
53 |
53 |
$1K |
| 92083 |
|
41 |
41 |
$757.47 |
| 92133 |
|
39 |
39 |
$396.01 |
| 92020 |
|
14 |
14 |
$165.77 |
| 92015 |
Determination of refractive state |
394 |
393 |
$108.31 |