| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
754 |
752 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
543 |
517 |
$9K |
| 92015 |
Determination of refractive state |
997 |
995 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| 92370 |
|
130 |
119 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
29 |
29 |
$1K |