| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
539 |
537 |
$22K |
| 76512 |
|
344 |
195 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
311 |
308 |
$21K |
| 92285 |
|
505 |
497 |
$11K |
| 92083 |
|
171 |
171 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
72 |
61 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
18 |
$1K |
| 68761 |
|
19 |
13 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
12 |
$476.84 |
| 92015 |
Determination of refractive state |
18 |
18 |
$0.00 |
| 92025 |
|
23 |
23 |
$0.00 |