| Code | Description | Claims | Bene. Records | Total Paid |
| 92250 |
|
1,632 |
1,615 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
521 |
512 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
813 |
804 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
146 |
145 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
75 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
51 |
$6K |
| 92015 |
Determination of refractive state |
1,285 |
1,261 |
$5K |
| 92370 |
|
611 |
607 |
$3K |