| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
132 |
126 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
142 |
138 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
96 |
93 |
$6K |
| 92015 |
Determination of refractive state |
210 |
203 |
$990.78 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$598.95 |