| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,702 |
1,679 |
$106K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
779 |
773 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
667 |
639 |
$33K |
| 92015 |
Determination of refractive state |
2,447 |
2,394 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
885 |
797 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
295 |
287 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
270 |
$7K |
| 92250 |
|
460 |
436 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
89 |
$3K |
| 92134 |
|
37 |
28 |
$410.25 |