| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,026 |
1,014 |
$100K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
593 |
580 |
$72K |
| 92015 |
Determination of refractive state |
2,105 |
2,074 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
690 |
678 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
28 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
28 |
$2K |
| 92250 |
|
64 |
64 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$610.46 |