| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
644 |
644 |
$88K |
| 92250 |
|
2,017 |
1,996 |
$67K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
558 |
558 |
$57K |
| 92015 |
Determination of refractive state |
2,232 |
2,211 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
201 |
201 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
258 |
$24K |
| 92285 |
|
178 |
178 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$841.92 |
| 99072 |
|
274 |
266 |
$685.75 |