| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,945 |
1,525 |
$183K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
744 |
477 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
503 |
316 |
$33K |
| 99223 |
Prolong inpt eval add15 m |
90 |
86 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
186 |
130 |
$9K |
| 92060 |
|
1,550 |
1,150 |
$6K |
| 92201 |
|
86 |
56 |
$5K |
| 92015 |
Determination of refractive state |
1,537 |
985 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$875.43 |