| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,842 |
1,825 |
$127K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,842 |
1,834 |
$109K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,980 |
2,928 |
$52K |
| 92015 |
Determination of refractive state |
3,891 |
3,856 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
123 |
$6K |
| 99215 |
Prolong outpt/office vis |
43 |
39 |
$2K |
| 92250 |
|
57 |
52 |
$1K |
| 92341 |
|
40 |
39 |
$787.32 |