| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,047 |
1,856 |
$133K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
899 |
816 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
488 |
440 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
278 |
277 |
$20K |
| 92015 |
Determination of refractive state |
3,505 |
3,212 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
98 |
$5K |
| 92250 |
|
36 |
36 |
$655.83 |