| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
707 |
580 |
$63K |
| 99215 |
Prolong outpt/office vis |
524 |
484 |
$38K |
| 99205 |
Prolong outpt/office vis |
345 |
331 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
807 |
716 |
$28K |
| 92250 |
|
1,374 |
1,269 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
291 |
203 |
$19K |
| 92015 |
Determination of refractive state |
1,770 |
1,504 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
254 |
241 |
$15K |
| 92225 |
|
75 |
38 |
$821.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
37 |
$474.64 |
| 99072 |
|
290 |
141 |
$390.00 |
| 92201 |
|
19 |
16 |
$208.02 |