| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,074 |
970 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,079 |
993 |
$21K |
| 92015 |
Determination of refractive state |
1,720 |
1,587 |
$11K |
| 92341 |
|
38 |
36 |
$918.75 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$576.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
13 |
$550.31 |