| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
676 |
650 |
$110K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
574 |
551 |
$84K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
192 |
189 |
$16K |
| 92015 |
Determination of refractive state |
1,929 |
1,852 |
$11K |
| 99243 |
|
28 |
28 |
$4K |
| 99254 |
|
20 |
19 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$3K |
| 99253 |
|
24 |
24 |
$2K |