| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
110 |
105 |
$8K |
| 92015 |
Determination of refractive state |
387 |
372 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
69 |
62 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
32 |
31 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
40 |
40 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
48 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |