| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,733 |
3,428 |
$395K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,065 |
2,743 |
$268K |
| 92250 |
|
333 |
309 |
$8K |
| 92020 |
|
191 |
181 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
27 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
30 |
25 |
$2K |
| 92015 |
Determination of refractive state |
187 |
187 |
$2K |
| 92310 |
|
18 |
12 |
$261.15 |