| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,194 |
1,193 |
$84K |
| 92015 |
Determination of refractive state |
1,473 |
1,472 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
371 |
370 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$695.13 |