| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
916 |
870 |
$36K |
| 92134 |
|
647 |
626 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
246 |
241 |
$4K |
| 92083 |
|
61 |
61 |
$2K |
| 92133 |
|
44 |
42 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$817.14 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$266.64 |
| 92015 |
Determination of refractive state |
45 |
45 |
$251.00 |