| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,733 |
1,692 |
$119K |
| 92250 |
|
146 |
144 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
129 |
111 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
376 |
376 |
$6K |
| 92015 |
Determination of refractive state |
1,695 |
1,679 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
670 |
668 |
$2K |
| 92083 |
|
42 |
41 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$845.92 |