| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,636 |
1,379 |
$57K |
| 92015 |
Determination of refractive state |
2,275 |
1,639 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,006 |
1,640 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
827 |
670 |
$38K |
| 92083 |
|
1,421 |
1,155 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
689 |
537 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
325 |
278 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
356 |
255 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
170 |
$8K |
| 92250 |
|
62 |
56 |
$2K |
| 92133 |
|
47 |
37 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$568.64 |
| 92025 |
|
14 |
12 |
$302.93 |