| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,475 |
3,466 |
$407K |
| 92250 |
|
4,423 |
4,374 |
$209K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,727 |
1,693 |
$166K |
| 92020 |
|
4,894 |
4,884 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
983 |
982 |
$128K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,151 |
1,122 |
$99K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
663 |
663 |
$98K |
| 92015 |
Determination of refractive state |
837 |
837 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
294 |
294 |
$36K |
| 92083 |
|
424 |
424 |
$27K |
| 92133 |
|
110 |
108 |
$4K |
| 99072 |
|
76 |
76 |
$0.00 |