| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,729 |
3,307 |
$168K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,324 |
2,190 |
$167K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,599 |
3,222 |
$156K |
| 92015 |
Determination of refractive state |
7,227 |
6,587 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,567 |
1,488 |
$102K |
| 92060 |
|
437 |
365 |
$11K |
| 92082 |
|
300 |
266 |
$9K |
| 92250 |
|
22 |
22 |
$922.16 |