| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,882 |
2,488 |
$172K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,171 |
1,023 |
$83K |
| 92250 |
|
1,821 |
1,481 |
$26K |
| 92060 |
|
1,026 |
895 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
601 |
492 |
$23K |
| 92285 |
|
1,050 |
879 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
228 |
207 |
$17K |
| 99223 |
Prolong inpt eval add15 m |
28 |
25 |
$3K |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |