| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,119 |
2,027 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,080 |
2,936 |
$65K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,294 |
1,256 |
$55K |
| 92015 |
Determination of refractive state |
3,745 |
3,596 |
$30K |
| 92341 |
|
151 |
149 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$576.00 |
| 2022F |
|
13 |
13 |
$0.00 |
| 2023F |
|
563 |
545 |
$0.00 |
| 3072F |
|
41 |
41 |
$0.00 |