| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,156 |
4,993 |
$227K |
| 92015 |
Determination of refractive state |
5,746 |
5,604 |
$91K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
532 |
531 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
197 |
145 |
$1K |
| 92083 |
|
165 |
129 |
$829.00 |
| 92020 |
|
165 |
129 |
$468.72 |