| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,405 |
1,398 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
706 |
701 |
$25K |
| 92015 |
Determination of refractive state |
3,438 |
3,407 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
128 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
389 |
388 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
198 |
192 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 92370 |
|
27 |
27 |
$478.44 |
| 92134 |
|
13 |
13 |
$95.45 |
| 92065 |
|
60 |
24 |
$0.00 |