| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,508 |
1,452 |
$120K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
215 |
209 |
$25K |
| 92015 |
Determination of refractive state |
3,268 |
3,107 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
80 |
79 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 92250 |
|
43 |
37 |
$967.27 |