| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
709 |
671 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,025 |
954 |
$20K |
| 92015 |
Determination of refractive state |
1,577 |
1,464 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
108 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
54 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$576.29 |
| 92341 |
|
14 |
12 |
$293.29 |
| 92250 |
|
16 |
13 |
$174.26 |