| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92100 |
|
586 |
559 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,756 |
1,671 |
$29K |
| 92250 |
|
307 |
295 |
$13K |
| 92082 |
|
335 |
324 |
$12K |
| 92015 |
Determination of refractive state |
1,468 |
1,389 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
179 |
175 |
$11K |
| 92225 |
|
468 |
221 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
77 |
70 |
$6K |
| 99215 |
Prolong outpt/office vis |
51 |
51 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
92 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
35 |
$3K |
| 92285 |
|
49 |
49 |
$1K |