| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
6,365 |
6,190 |
$237K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,493 |
3,385 |
$233K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,427 |
2,373 |
$124K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
55 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
65 |
$4K |