| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,811 |
3,709 |
$198K |
| 92250 |
|
5,853 |
5,693 |
$158K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,158 |
2,103 |
$143K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,915 |
1,851 |
$29K |
| 83861 |
|
454 |
220 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$394.91 |
| 92083 |
|
13 |
12 |
$249.05 |
| 92015 |
Determination of refractive state |
451 |
444 |
$65.00 |