| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,117 |
3,117 |
$388K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,994 |
2,994 |
$312K |
| 92250 |
|
6,441 |
6,428 |
$218K |
| 92273 |
|
1,101 |
1,099 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
973 |
923 |
$95K |
| 92015 |
Determination of refractive state |
4,470 |
4,466 |
$79K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
72 |
$11K |
| 92081 |
|
285 |
285 |
$7K |
| 92083 |
|
59 |
59 |
$3K |
| 92133 |
|
14 |
14 |
$426.76 |