| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
136 |
128 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
93 |
84 |
$7K |
| 92015 |
Determination of refractive state |
585 |
547 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
25 |
25 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
25 |
$820.32 |