| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,060 |
1,997 |
$186K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,649 |
1,605 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
422 |
406 |
$31K |
| 92015 |
Determination of refractive state |
4,220 |
4,102 |
$25K |
| 92250 |
|
136 |
134 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
105 |
104 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
25 |
$1K |