| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,174 |
2,169 |
$173K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,223 |
2,215 |
$144K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,701 |
2,689 |
$54K |
| 92015 |
Determination of refractive state |
4,626 |
4,614 |
$51K |
| 92341 |
|
922 |
917 |
$21K |
| 92250 |
|
193 |
193 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
16 |
$796.35 |