| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92065 |
|
2,484 |
1,028 |
$55K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
166 |
151 |
$4K |
| 92015 |
Determination of refractive state |
75 |
75 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$653.33 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$528.60 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18 |
16 |
$317.80 |