| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,461 |
1,278 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
345 |
344 |
$1K |
| 92015 |
Determination of refractive state |
628 |
627 |
$540.01 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
293 |
292 |
$349.02 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
56 |
56 |
$213.00 |
| V2020 |
Frames, purchases |
52 |
52 |
$103.58 |