| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,866 |
1,562 |
$179K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,364 |
1,788 |
$179K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
879 |
716 |
$60K |
| 92060 |
|
522 |
390 |
$9K |
| 92015 |
Determination of refractive state |
1,586 |
1,286 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 99072 |
|
140 |
134 |
$0.00 |