| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
427 |
425 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
194 |
184 |
$919.80 |
| 92015 |
Determination of refractive state |
957 |
941 |
$514.17 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
88 |
$0.00 |
| 92060 |
|
130 |
130 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
44 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
155 |
151 |
$0.00 |
| 92134 |
|
51 |
49 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$0.00 |