| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
164 |
138 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
142 |
115 |
$6K |
| 92250 |
|
279 |
226 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
53 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
35 |
26 |
$974.97 |
| 92015 |
Determination of refractive state |
471 |
412 |
$537.68 |