| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,059 |
2,026 |
$122K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,628 |
1,602 |
$71K |
| 92015 |
Determination of refractive state |
3,058 |
2,972 |
$37K |
| 92250 |
|
1,709 |
1,656 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
755 |
717 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
205 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$4K |
| 92134 |
|
66 |
66 |
$782.52 |
| 92083 |
|
25 |
25 |
$676.80 |
| 92133 |
|
28 |
27 |
$227.58 |
| 83861 |
|
24 |
12 |
$107.57 |