| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,084 |
3,923 |
$189K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,945 |
1,896 |
$98K |
| 92015 |
Determination of refractive state |
2,047 |
1,984 |
$63K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,070 |
1,018 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
234 |
222 |
$16K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
246 |
234 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
108 |
102 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
137 |
129 |
$4K |
| 92083 |
|
41 |
40 |
$1K |
| 92133 |
|
12 |
12 |
$560.30 |
| 92250 |
|
16 |
16 |
$522.36 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$334.61 |
| 92020 |
|
12 |
12 |
$242.00 |
| 76514 |
|
12 |
12 |
$136.20 |