| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,806 |
4,736 |
$206K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,564 |
1,561 |
$84K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,485 |
1,457 |
$59K |
| 92015 |
Determination of refractive state |
2,860 |
2,756 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
289 |
286 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
27 |
$2K |
| 3072F |
|
178 |
173 |
$860.00 |
| 92083 |
|
12 |
12 |
$371.88 |