| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,475 |
4,458 |
$275K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,575 |
1,562 |
$88K |
| 92015 |
Determination of refractive state |
6,000 |
5,970 |
$48K |
| 92250 |
|
787 |
782 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
133 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
68 |
$4K |