| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,288 |
1,986 |
$78K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,625 |
1,500 |
$73K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
168 |
149 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
41 |
40 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$986.70 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
681 |
623 |
$0.00 |
| 1036F |
|
1,282 |
1,168 |
$0.00 |