| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
704 |
664 |
$28K |
| 83861 |
|
992 |
573 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
238 |
206 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
127 |
125 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
17 |
$2K |
| 92015 |
Determination of refractive state |
177 |
176 |
$1K |