| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,414 |
2,397 |
$222K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,793 |
1,776 |
$203K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,680 |
2,670 |
$182K |
| 92250 |
|
268 |
265 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
120 |
120 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
50 |
$3K |
| 92015 |
Determination of refractive state |
167 |
160 |
$3K |