| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
409 |
403 |
$27K |
| 92015 |
Determination of refractive state |
1,173 |
1,157 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
733 |
728 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$1K |