| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
376 |
375 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
235 |
235 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
203 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
319 |
315 |
$4K |
| 92015 |
Determination of refractive state |
651 |
648 |
$3K |
| 92250 |
|
123 |
122 |
$2K |