| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
557 |
550 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
272 |
238 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
475 |
475 |
$8K |
| 92015 |
Determination of refractive state |
867 |
858 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
71 |
70 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23 |
13 |
$915.48 |
| 3072F |
|
767 |
765 |
$0.00 |