| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,105 |
1,076 |
$81K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
737 |
696 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
103 |
100 |
$11K |
| 92015 |
Determination of refractive state |
2,503 |
2,420 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$606.30 |
| 92250 |
|
27 |
27 |
$483.09 |
| 92285 |
|
13 |
13 |
$135.03 |