| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,473 |
1,383 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,157 |
989 |
$90K |
| 99215 |
Prolong outpt/office vis |
628 |
540 |
$69K |
| 92250 |
|
1,745 |
1,625 |
$56K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
604 |
564 |
$55K |
| 92015 |
Determination of refractive state |
3,634 |
3,374 |
$54K |
| 92341 |
|
1,203 |
1,120 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
910 |
858 |
$24K |
| 99072 |
|
3,155 |
2,708 |
$16K |
| 92083 |
|
70 |
62 |
$3K |
| 92133 |
|
59 |
58 |
$2K |
| 92100 |
|
16 |
16 |
$1K |
| 92370 |
|
56 |
56 |
$962.49 |
| 76514 |
|
18 |
18 |
$197.09 |