| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,847 |
8,836 |
$618K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,784 |
6,764 |
$569K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,159 |
5,792 |
$294K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,420 |
4,233 |
$221K |
| 92015 |
Determination of refractive state |
18,634 |
18,594 |
$211K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,594 |
1,592 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,295 |
1,283 |
$96K |
| 99233 |
Prolong inpt eval add15 m |
1,348 |
783 |
$79K |
| 99223 |
Prolong inpt eval add15 m |
27 |
27 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$3K |
| 92201 |
|
139 |
104 |
$2K |
| 92060 |
|
44 |
43 |
$2K |
| 99201 |
|
25 |
25 |
$613.39 |
| 92133 |
|
25 |
25 |
$575.61 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$357.44 |