| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,691 |
3,369 |
$136K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,199 |
3,199 |
$131K |
| 92015 |
Determination of refractive state |
4,089 |
4,088 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,484 |
1,419 |
$45K |
| 92250 |
|
1,931 |
1,748 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
723 |
717 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
548 |
548 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
326 |
315 |
$13K |
| 92341 |
|
253 |
253 |
$9K |
| 92083 |
|
172 |
169 |
$9K |
| 92133 |
|
145 |
142 |
$3K |
| 92134 |
|
65 |
65 |
$878.85 |
| 92132 |
|
14 |
14 |
$181.17 |