| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,150 |
3,039 |
$280K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,499 |
1,423 |
$99K |
| 92015 |
Determination of refractive state |
1,727 |
1,629 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
70 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$981.50 |