| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
103 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
62 |
56 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
64 |
64 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26 |
24 |
$2K |
| 92015 |
Determination of refractive state |
77 |
74 |
$953.77 |