| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,054 |
3,051 |
$520K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,340 |
1,340 |
$304K |
| 92060 |
|
3,044 |
3,034 |
$261K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,639 |
1,557 |
$197K |
| 92015 |
Determination of refractive state |
5,557 |
5,551 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115 |
114 |
$13K |
| 92250 |
|
38 |
38 |
$2K |
| 99072 |
|
243 |
243 |
$0.00 |