| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
607 |
577 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
263 |
260 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
369 |
354 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
370 |
356 |
$16K |
| 92002 |
|
102 |
99 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
78 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
45 |
$3K |
| 92015 |
Determination of refractive state |
207 |
191 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$922.34 |