| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,810 |
8,810 |
$1.39M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,423 |
7,423 |
$999K |
| 92060 |
|
10,015 |
10,010 |
$676K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,934 |
4,840 |
$467K |
| 92250 |
|
5,303 |
5,302 |
$229K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
840 |
840 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
411 |
410 |
$56K |
| 92015 |
Determination of refractive state |
17,085 |
17,081 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
249 |
240 |
$24K |