| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,016 |
1,015 |
$97K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
99 |
99 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
124 |
122 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
101 |
$7K |
| 92015 |
Determination of refractive state |
747 |
745 |
$2K |
| 99072 |
|
267 |
267 |
$0.00 |