| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,660 |
1,311 |
$160K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,363 |
1,052 |
$146K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,204 |
957 |
$76K |
| 92015 |
Determination of refractive state |
3,115 |
2,462 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$1K |
| 92060 |
|
323 |
263 |
$1K |
| 92133 |
|
15 |
15 |
$29.58 |
| 92250 |
|
494 |
395 |
$-1301.73 |