| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
656 |
651 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
310 |
304 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
111 |
108 |
$6K |
| 92250 |
|
91 |
89 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
32 |
$4K |
| 92060 |
|
13 |
13 |
$674.70 |
| 92015 |
Determination of refractive state |
1,123 |
1,109 |
$30.10 |