| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,338 |
3,019 |
$308K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,246 |
2,130 |
$246K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,269 |
2,144 |
$157K |
| 92060 |
|
2,521 |
2,384 |
$131K |
| 92015 |
Determination of refractive state |
5,746 |
5,391 |
$87K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
18 |
18 |
$2K |
| 92201 |
|
43 |
27 |
$692.80 |