| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
403 |
347 |
$62K |
| 92342 |
|
453 |
399 |
$22K |
| 92015 |
Determination of refractive state |
705 |
617 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
156 |
135 |
$16K |
| 92081 |
|
271 |
240 |
$9K |
| 99205 |
Prolong outpt/office vis |
32 |
32 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
224 |
197 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$7K |
| 67700 |
|
13 |
12 |
$4K |
| 99002 |
|
643 |
558 |
$3K |
| 67820 |
|
17 |
17 |
$740.86 |
| 92370 |
|
507 |
426 |
$357.00 |