| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
10,860 |
9,930 |
$368K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,636 |
5,384 |
$354K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,645 |
3,553 |
$178K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
39 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$526.41 |