| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
992 |
843 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,085 |
899 |
$31K |
| 92015 |
Determination of refractive state |
332 |
289 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84 |
84 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
45 |
$3K |
| 92310 |
|
27 |
27 |
$2K |
| 92250 |
|
13 |
13 |
$362.22 |
| 3072F |
|
30 |
30 |
$0.00 |