| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,044 |
1,992 |
$156K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
725 |
722 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
998 |
994 |
$107K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
854 |
854 |
$62K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
112 |
112 |
$9K |
| 92015 |
Determination of refractive state |
1,244 |
1,241 |
$1K |
| 92250 |
|
24 |
24 |
$1K |