| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,073 |
957 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
684 |
645 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,296 |
1,142 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
342 |
335 |
$12K |
| 92015 |
Determination of refractive state |
84 |
78 |
$1K |
| 2022F |
|
28 |
28 |
$0.16 |
| 2027F |
|
29 |
27 |
$0.00 |