| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
191 |
188 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
252 |
245 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
34 |
28 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
14 |
$895.81 |
| 92250 |
|
12 |
12 |
$379.62 |