| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
268 |
236 |
$21K |
| 92015 |
Determination of refractive state |
365 |
306 |
$8K |
| 92285 |
|
263 |
199 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
31 |
$3K |
| 92250 |
|
65 |
60 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
32 |
$2K |
| 92060 |
|
30 |
27 |
$1K |
| 92134 |
|
29 |
18 |
$271.79 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
15 |
14 |
$0.00 |