| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,611 |
1,608 |
$47K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,137 |
1,131 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,752 |
1,742 |
$13K |
| 92015 |
Determination of refractive state |
2,935 |
2,920 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
156 |
131 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |