| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,272 |
1,266 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
326 |
324 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,626 |
1,601 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
401 |
399 |
$20K |
| 92015 |
Determination of refractive state |
2,259 |
2,247 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$877.23 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$656.60 |
| 92370 |
|
28 |
25 |
$453.32 |
| 92341 |
|
12 |
12 |
$263.34 |