| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,669 |
1,609 |
$148K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,206 |
2,119 |
$138K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,005 |
982 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
565 |
493 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
717 |
653 |
$33K |
| 92015 |
Determination of refractive state |
3,756 |
3,551 |
$17K |
| 92250 |
|
223 |
190 |
$8K |
| 76519 |
|
68 |
50 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
33 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$948.48 |
| 92370 |
|
14 |
14 |
$290.00 |
| 99442 |
|
41 |
39 |
$43.14 |
| 99024 |
|
24 |
12 |
$0.00 |