| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
446 |
444 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
289 |
288 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
444 |
436 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
105 |
103 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
56 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126 |
124 |
$3K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$2K |