| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,765 |
2,686 |
$289K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
983 |
955 |
$115K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,659 |
2,611 |
$72K |
| 92015 |
Determination of refractive state |
3,721 |
3,645 |
$61K |
| 92250 |
|
829 |
806 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
127 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$2K |
| 92065 |
|
22 |
13 |
$996.60 |