| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92065 |
|
3,144 |
1,095 |
$97K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,757 |
1,667 |
$95K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,641 |
1,529 |
$22K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
724 |
260 |
$20K |
| 92015 |
Determination of refractive state |
2,252 |
2,111 |
$14K |
| 92060 |
|
370 |
356 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
202 |
177 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
210 |
201 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
503 |
174 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
52 |
$5K |