| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
2,335 |
1,414 |
$67K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
681 |
663 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
261 |
254 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
136 |
132 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
27 |
$1K |
| 92015 |
Determination of refractive state |
314 |
296 |
$151.00 |