| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,058 |
987 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
397 |
359 |
$21K |
| 92250 |
|
425 |
402 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
345 |
335 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
39 |
$1K |
| 92015 |
Determination of refractive state |
1,589 |
1,469 |
$67.00 |