| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,067 |
1,065 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
97 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
284 |
262 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
98 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
100 |
86 |
$2K |
| 92250 |
|
44 |
44 |
$827.92 |
| 92133 |
|
28 |
28 |
$193.76 |