| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,697 |
10,697 |
$1.84M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,028 |
12,022 |
$1.76M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,278 |
6,205 |
$641K |
| 92015 |
Determination of refractive state |
24,043 |
24,033 |
$436K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,519 |
2,484 |
$273K |
| 92060 |
|
3,013 |
3,002 |
$222K |
| 99243 |
|
1,020 |
1,019 |
$142K |
| 92225 |
|
2,629 |
2,009 |
$124K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
956 |
956 |
$123K |
| 92250 |
|
1,526 |
1,524 |
$78K |
| 67311 |
|
19 |
13 |
$12K |
| 92285 |
|
480 |
476 |
$10K |
| 76514 |
|
329 |
329 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |