| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,608 |
1,606 |
$80K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
969 |
968 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,146 |
2,112 |
$32K |
| 92015 |
Determination of refractive state |
2,840 |
2,838 |
$21K |
| 92250 |
|
43 |
43 |
$1K |
| 65210 |
|
39 |
31 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$1K |