| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,341 |
1,314 |
$37K |
| 92015 |
Determination of refractive state |
1,534 |
1,506 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
316 |
315 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
477 |
406 |
$9K |
| 92002 |
|
327 |
252 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
84 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$2K |
| 92341 |
|
53 |
53 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
15 |
$587.20 |