| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,016 |
3,908 |
$257K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,242 |
1,194 |
$102K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,440 |
5,263 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,924 |
1,801 |
$58K |
| 92015 |
Determination of refractive state |
5,770 |
5,575 |
$46K |
| 92250 |
|
1,149 |
1,111 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
778 |
744 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
222 |
$6K |
| 92083 |
|
73 |
72 |
$3K |
| 92133 |
|
89 |
86 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
24 |
24 |
$586.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$434.40 |
| 76514 |
|
12 |
12 |
$25.61 |