| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,607 |
1,361 |
$65K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
490 |
387 |
$13K |
| 92250 |
|
304 |
261 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
26 |
$2K |
| 92015 |
Determination of refractive state |
1,999 |
1,664 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
28 |
$2K |