| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,168 |
2,126 |
$145K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,546 |
1,444 |
$95K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
899 |
866 |
$78K |
| 92250 |
|
257 |
227 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
110 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115 |
102 |
$4K |
| 92060 |
|
59 |
58 |
$2K |
| 92015 |
Determination of refractive state |
181 |
144 |
$2K |
| 92002 |
|
22 |
22 |
$1K |