| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,042 |
4,746 |
$664K |
| 67311 |
|
247 |
220 |
$205K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,437 |
1,395 |
$166K |
| 92060 |
|
2,202 |
2,074 |
$129K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,557 |
1,476 |
$124K |
| 92015 |
Determination of refractive state |
6,636 |
6,283 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
161 |
127 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
74 |
$8K |
| 92002 |
|
44 |
41 |
$3K |
| 92250 |
|
15 |
15 |
$939.12 |