| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
781 |
673 |
$28K |
| 92015 |
Determination of refractive state |
703 |
623 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
101 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$601.69 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
27 |
27 |
$489.30 |