| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
783 |
512 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
326 |
288 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
383 |
340 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
376 |
262 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
361 |
225 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192 |
160 |
$8K |
| 92060 |
|
140 |
101 |
$4K |
| 92015 |
Determination of refractive state |
728 |
526 |
$4K |