| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,053 |
1,007 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,031 |
976 |
$66K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
381 |
339 |
$23K |
| 92015 |
Determination of refractive state |
1,535 |
1,451 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
536 |
406 |
$17K |
| 92020 |
|
123 |
101 |
$2K |
| 92083 |
|
12 |
12 |
$532.96 |