| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,012 |
4,880 |
$444K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,187 |
3,090 |
$212K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
505 |
463 |
$53K |
| 92015 |
Determination of refractive state |
3,854 |
3,677 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
257 |
255 |
$21K |
| 92250 |
|
231 |
211 |
$8K |
| 92002 |
|
181 |
181 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
120 |
116 |
$5K |
| 92133 |
|
17 |
17 |
$645.12 |
| 3072F |
|
86 |
82 |
$231.00 |
| 2033F |
|
218 |
213 |
$0.00 |