| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
841 |
814 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
144 |
$5K |
| 66761 |
|
18 |
13 |
$784.50 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
47 |
47 |
$514.73 |
| 92020 |
|
123 |
122 |
$511.92 |
| 92136 |
|
47 |
24 |
$251.33 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$222.08 |
| 92250 |
|
25 |
25 |
$212.51 |
| 92083 |
|
12 |
12 |
$85.85 |
| 92133 |
|
15 |
15 |
$40.79 |