| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
6,303 |
5,845 |
$100K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,983 |
1,850 |
$100K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,230 |
1,122 |
$84K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,110 |
1,043 |
$43K |
| 92250 |
|
1,485 |
1,358 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
665 |
591 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
892 |
840 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
688 |
626 |
$29K |
| 92285 |
|
17 |
16 |
$170.20 |
| 3072F |
|
159 |
155 |
$0.00 |
| 2023F |
|
410 |
382 |
$0.00 |