| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
718 |
624 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
142 |
137 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
38 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
12 |
$678.28 |
| 92015 |
Determination of refractive state |
13 |
12 |
$220.96 |