| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,027 |
2,027 |
$128K |
| 92250 |
|
1,230 |
1,174 |
$50K |
| 92083 |
|
641 |
639 |
$49K |
| 92015 |
Determination of refractive state |
2,708 |
2,707 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
775 |
758 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
224 |
224 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
30 |
17 |
$907.20 |