| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
281 |
280 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
277 |
271 |
$14K |
| 92015 |
Determination of refractive state |
1,159 |
1,133 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
50 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
43 |
42 |
$2K |