| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
874 |
799 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
754 |
743 |
$37K |
| 92015 |
Determination of refractive state |
2,294 |
2,184 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
333 |
307 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
70 |
$3K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
15 |
15 |
$1K |
| 92002 |
|
13 |
13 |
$385.00 |