| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,004 |
2,641 |
$210K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,149 |
1,871 |
$122K |
| 92015 |
Determination of refractive state |
4,491 |
4,432 |
$76K |
| 92250 |
|
729 |
703 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
120 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
39 |
$2K |
| 92133 |
|
12 |
12 |
$357.86 |