| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
593 |
579 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
458 |
457 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
384 |
364 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
178 |
161 |
$7K |
| 92015 |
Determination of refractive state |
57 |
57 |
$598.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
17 |
17 |
$342.90 |