| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
71 |
68 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
67 |
66 |
$3K |
| 92015 |
Determination of refractive state |
583 |
539 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
49 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
38 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
46 |
40 |
$407.88 |
| V2020 |
Frames, purchases |
31 |
26 |
$380.08 |