| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,886 |
1,882 |
$93K |
| V2020 |
Frames, purchases |
3,741 |
3,730 |
$78K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,985 |
2,973 |
$61K |
| 92082 |
|
2,061 |
2,028 |
$56K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,014 |
1,013 |
$39K |
| 92015 |
Determination of refractive state |
4,122 |
4,115 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
272 |
272 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
160 |
$12K |
| 99243 |
|
123 |
122 |
$7K |
| 92341 |
|
281 |
281 |
$7K |