| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
233 |
221 |
$9K |
| V2020 |
Frames, purchases |
148 |
140 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
146 |
138 |
$3K |
| 92015 |
Determination of refractive state |
242 |
228 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
18 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$356.40 |