| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,685 |
3,675 |
$406K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,766 |
2,766 |
$362K |
| 92060 |
|
4,667 |
4,629 |
$278K |
| 92015 |
Determination of refractive state |
5,194 |
5,186 |
$132K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
748 |
734 |
$57K |
| 92250 |
|
808 |
808 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$998.07 |