| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,227 |
1,144 |
$140K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
918 |
861 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,201 |
1,025 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
916 |
821 |
$60K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
87 |
81 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
38 |
$4K |
| 92015 |
Determination of refractive state |
231 |
210 |
$3K |
| 92002 |
|
18 |
14 |
$1K |