| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,414 |
1,328 |
$144K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
287 |
277 |
$29K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
140 |
140 |
$10K |
| 92015 |
Determination of refractive state |
325 |
318 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
26 |
$2K |
| 3072F |
|
157 |
152 |
$0.00 |