| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,960 |
4,939 |
$293K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,948 |
4,920 |
$269K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,653 |
5,555 |
$94K |
| 92015 |
Determination of refractive state |
10,645 |
10,584 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,824 |
1,737 |
$66K |
| V2799 |
Vision item or service, miscellaneous |
268 |
268 |
$27K |
| 92083 |
|
879 |
871 |
$24K |
| 92250 |
|
1,058 |
1,041 |
$18K |
| 92133 |
|
382 |
380 |
$6K |
| 92370 |
|
54 |
54 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$931.28 |
| 76514 |
|
12 |
12 |
$26.56 |