| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,146 |
3,564 |
$579K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,986 |
2,540 |
$503K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,031 |
6,099 |
$303K |
| 92015 |
Determination of refractive state |
12,067 |
9,970 |
$284K |
| 92250 |
|
1,001 |
890 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
89 |
$15K |
| 83861 |
|
928 |
406 |
$13K |
| 92133 |
|
114 |
100 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
36 |
$3K |
| 92285 |
|
16 |
13 |
$263.88 |
| 76514 |
|
13 |
12 |
$124.88 |