| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,332 |
5,270 |
$188K |
| 92002 |
|
4,578 |
4,516 |
$175K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,654 |
1,594 |
$73K |
| 92015 |
Determination of refractive state |
3,850 |
3,832 |
$72K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
715 |
694 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
92 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
65 |
65 |
$975.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$786.48 |
| 3072F |
|
204 |
202 |
$0.00 |