| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
805 |
710 |
$90K |
| 92250 |
|
2,013 |
1,718 |
$74K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
353 |
322 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
649 |
506 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
199 |
161 |
$13K |
| 92134 |
|
297 |
238 |
$6K |
| 92015 |
Determination of refractive state |
1,841 |
1,606 |
$873.33 |
| 92025 |
|
13 |
12 |
$149.73 |