| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
184 |
184 |
$603.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$483.75 |
| 92015 |
Determination of refractive state |
233 |
233 |
$144.20 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
124 |
124 |
$38.78 |
| V2020 |
Frames, purchases |
120 |
120 |
$38.36 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$35.50 |