| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,611 |
2,348 |
$124K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,875 |
2,568 |
$85K |
| 92015 |
Determination of refractive state |
4,511 |
4,037 |
$82K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,553 |
1,417 |
$70K |
| 92133 |
|
277 |
241 |
$7K |
| 92225 |
|
91 |
69 |
$4K |
| 92082 |
|
114 |
95 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$796.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$582.40 |
| 92132 |
|
14 |
14 |
$297.08 |