| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
453 |
450 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
353 |
302 |
$28K |
| 92015 |
Determination of refractive state |
3,484 |
3,362 |
$13K |
| 92082 |
|
690 |
654 |
$12K |
| 92002 |
|
185 |
181 |
$12K |
| 92250 |
|
687 |
646 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
89 |
89 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
94 |
89 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
50 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
225 |
213 |
$2K |
| 99072 |
|
136 |
131 |
$0.00 |