| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
7,095 |
6,153 |
$217K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,247 |
2,113 |
$178K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,669 |
3,285 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
182 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
289 |
242 |
$9K |
| 92250 |
|
20 |
16 |
$620.05 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
12 |
$417.72 |