| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
751 |
726 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
500 |
494 |
$14K |
| 92020 |
|
2,273 |
2,213 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
530 |
529 |
$12K |
| 92083 |
|
872 |
844 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
433 |
421 |
$5K |
| 92133 |
|
227 |
226 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
49 |
$815.78 |
| 76512 |
|
115 |
57 |
$750.01 |
| 68761 |
|
206 |
202 |
$616.03 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$523.66 |
| 92134 |
|
13 |
13 |
$155.62 |
| 76514 |
|
29 |
29 |
$103.96 |
| 92015 |
Determination of refractive state |
156 |
154 |
$83.86 |