| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,582 |
1,312 |
$187K |
| 92015 |
Determination of refractive state |
8,567 |
7,615 |
$186K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,784 |
1,271 |
$175K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,067 |
2,881 |
$126K |
| 92002 |
|
2,966 |
2,841 |
$117K |
| 92202 |
|
2,603 |
2,184 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
347 |
330 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
202 |
195 |
$26K |
| 67311 |
|
13 |
12 |
$10K |
| 92060 |
|
79 |
69 |
$3K |