| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92065 |
|
185 |
96 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
185 |
96 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20 |
20 |
$1K |
| 92060 |
|
20 |
20 |
$968.16 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$420.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
32 |
$314.50 |