| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
710 |
664 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
400 |
376 |
$25K |
| 92134 |
|
808 |
741 |
$8K |
| 99215 |
Prolong outpt/office vis |
156 |
152 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
50 |
$3K |
| 92015 |
Determination of refractive state |
325 |
302 |
$1K |