| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
311 |
311 |
$11K |
| 92015 |
Determination of refractive state |
936 |
936 |
$7K |
| V2020 |
Frames, purchases |
325 |
324 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
158 |
158 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
283 |
280 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
13 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
12 |
$1K |
| 92341 |
|
12 |
12 |
$228.96 |