| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
459 |
455 |
$20K |
| 92250 |
|
527 |
525 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
85 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
124 |
122 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
71 |
67 |
$2K |
| 92020 |
|
58 |
58 |
$739.59 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$688.23 |