| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,873 |
6,345 |
$410K |
| 92015 |
Determination of refractive state |
11,987 |
10,744 |
$397K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,442 |
3,224 |
$159K |
| 92250 |
|
1,178 |
1,063 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
190 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$4K |
| 92285 |
|
63 |
61 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$617.33 |
| 99072 |
|
873 |
680 |
$80.00 |