| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,443 |
1,368 |
$82K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
182 |
175 |
$22K |
| 92015 |
Determination of refractive state |
1,826 |
1,763 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
278 |
269 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
39 |
$1K |
| 92250 |
|
13 |
13 |
$481.86 |
| 92133 |
|
13 |
13 |
$190.27 |