| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,711 |
1,706 |
$118K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
762 |
759 |
$78K |
| 92015 |
Determination of refractive state |
1,556 |
1,551 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
127 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
180 |
169 |
$9K |
| 83861 |
|
139 |
74 |
$2K |
| 92133 |
|
44 |
43 |
$747.76 |
| 92250 |
|
12 |
12 |
$292.42 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$282.55 |