| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,630 |
5,557 |
$252K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,793 |
3,739 |
$171K |
| 92015 |
Determination of refractive state |
9,305 |
9,171 |
$22K |
| 92310 |
|
330 |
323 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
39 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$2K |
| 2023F |
|
1,126 |
1,102 |
$0.00 |
| 3072F |
|
13 |
12 |
$0.00 |