| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
288 |
283 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
369 |
360 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
389 |
386 |
$18K |
| 92002 |
|
296 |
295 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
17 |
$691.68 |
| 92250 |
|
14 |
13 |
$12.61 |