| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,106 |
2,101 |
$135K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,813 |
5,769 |
$119K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
867 |
864 |
$61K |
| 92015 |
Determination of refractive state |
3,168 |
3,158 |
$33K |
| 92250 |
|
382 |
382 |
$11K |
| 92370 |
|
135 |
135 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
29 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
40 |
38 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$1K |