| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,233 |
3,148 |
$161K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,484 |
2,403 |
$147K |
| 92015 |
Determination of refractive state |
5,110 |
4,995 |
$132K |
| 92310 |
|
822 |
816 |
$54K |
| 92250 |
|
964 |
937 |
$43K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
248 |
246 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
168 |
147 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
96 |
$5K |
| 92002 |
|
12 |
12 |
$403.00 |