| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
1,440 |
1,408 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
303 |
296 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
420 |
415 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
131 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
72 |
$6K |
| 92285 |
|
57 |
57 |
$1K |
| 92015 |
Determination of refractive state |
498 |
488 |
$891.38 |
| 99072 |
|
34 |
34 |
$0.00 |