| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,020 |
3,504 |
$111K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,412 |
2,405 |
$91K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,390 |
1,384 |
$77K |
| 92015 |
Determination of refractive state |
4,942 |
4,860 |
$58K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
475 |
463 |
$16K |
| 92250 |
|
1,036 |
960 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
114 |
$8K |
| 92341 |
|
226 |
226 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
29 |
$1K |