| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,838 |
3,556 |
$188K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,474 |
1,382 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
369 |
326 |
$47K |
| 92015 |
Determination of refractive state |
1,252 |
1,150 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
52 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$1K |
| 92083 |
|
28 |
26 |
$1K |
| 92133 |
|
12 |
12 |
$177.73 |
| 3072F |
|
163 |
150 |
$0.00 |