| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,744 |
1,736 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
139 |
133 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
29 |
$939.47 |
| 92250 |
|
78 |
76 |
$937.32 |
| 92341 |
|
24 |
24 |
$480.00 |
| 92083 |
|
12 |
12 |
$476.49 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
31 |
30 |
$465.00 |
| 92134 |
|
24 |
24 |
$264.91 |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |