| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,620 |
2,484 |
$125K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,298 |
1,219 |
$104K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
624 |
599 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
857 |
749 |
$26K |
| 92015 |
Determination of refractive state |
2,274 |
1,793 |
$25K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
540 |
493 |
$16K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
69 |
54 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
38 |
$1K |
| 92002 |
|
13 |
13 |
$575.80 |