| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,105 |
1,102 |
$59K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
856 |
852 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,640 |
1,628 |
$25K |
| 92015 |
Determination of refractive state |
1,988 |
1,981 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
18 |
$527.74 |
| 92250 |
|
18 |
17 |
$376.08 |