| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,863 |
5,804 |
$199K |
| V2020 |
Frames, purchases |
6,598 |
6,538 |
$125K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,843 |
4,806 |
$96K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,453 |
2,436 |
$81K |
| 92015 |
Determination of refractive state |
8,223 |
8,121 |
$63K |
| 92250 |
|
726 |
714 |
$27K |
| 92341 |
|
1,015 |
998 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,233 |
1,225 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
101 |
$7K |
| 92133 |
|
147 |
130 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
56 |
$1K |
| 92202 |
|
16 |
16 |
$222.08 |