| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,395 |
2,233 |
$160K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,680 |
1,549 |
$139K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,762 |
3,424 |
$79K |
| 92250 |
|
1,068 |
940 |
$18K |
| 92015 |
Determination of refractive state |
4,477 |
4,051 |
$18K |
| 92341 |
|
531 |
483 |
$11K |
| 65210 |
|
154 |
135 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
74 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
44 |
$3K |