| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
2,385 |
2,379 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,205 |
1,202 |
$86K |
| 92083 |
|
2,149 |
2,145 |
$78K |
| 99205 |
Prolong outpt/office vis |
365 |
365 |
$31K |
| 92015 |
Determination of refractive state |
3,203 |
3,192 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
488 |
480 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
374 |
374 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$617.58 |