| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
468 |
403 |
$41K |
| 92015 |
Determination of refractive state |
1,600 |
1,425 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
103 |
96 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
14 |
$766.03 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
17 |
12 |
$300.00 |