| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,380 |
1,326 |
$134K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,346 |
1,314 |
$121K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
394 |
391 |
$27K |
| 92015 |
Determination of refractive state |
712 |
702 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$2K |
| 92250 |
|
14 |
13 |
$539.11 |