| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
127 |
113 |
$7K |
| 92250 |
|
565 |
529 |
$6K |
| 92100 |
|
294 |
201 |
$5K |
| 92083 |
|
331 |
318 |
$4K |
| 92015 |
Determination of refractive state |
521 |
459 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
38 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
113 |
111 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$732.48 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |