| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
397 |
396 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
507 |
501 |
$39K |
| 92015 |
Determination of refractive state |
642 |
642 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
72 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$4K |