| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
424 |
364 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
101 |
80 |
$10K |
| 92015 |
Determination of refractive state |
610 |
528 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
57 |
48 |
$6K |
| 92250 |
|
208 |
182 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$686.92 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
29 |
26 |
$0.00 |