| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
448 |
448 |
$21K |
| V2020 |
Frames, purchases |
537 |
537 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
462 |
462 |
$10K |
| 92015 |
Determination of refractive state |
564 |
564 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
117 |
117 |
$4K |
| 92341 |
|
68 |
68 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$308.88 |