| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,687 |
3,645 |
$243K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,184 |
4,111 |
$236K |
| 92015 |
Determination of refractive state |
13,250 |
12,287 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,047 |
1,861 |
$87K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,295 |
1,134 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$828.48 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$762.76 |