| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
287 |
210 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
48 |
37 |
$3K |
| 92002 |
|
34 |
29 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
14 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
27 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
24 |
13 |
$753.63 |