| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
497 |
466 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
831 |
799 |
$17K |
| 92015 |
Determination of refractive state |
1,202 |
1,133 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$606.93 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$590.28 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
17 |
13 |
$0.00 |
| 2022F |
|
12 |
12 |
$0.00 |