| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,634 |
1,633 |
$112K |
| 92225 |
|
1,635 |
1,630 |
$75K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,280 |
1,276 |
$65K |
| 92015 |
Determination of refractive state |
3,123 |
3,110 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
57 |
46 |
$2K |
| 92250 |
|
62 |
62 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$0.00 |