| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,690 |
2,637 |
$215K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,105 |
6,868 |
$140K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,300 |
1,260 |
$86K |
| 92015 |
Determination of refractive state |
5,590 |
5,378 |
$56K |
| 92081 |
|
673 |
665 |
$14K |
| 92250 |
|
225 |
212 |
$4K |
| 92083 |
|
26 |
24 |
$659.48 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$529.11 |