| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,702 |
3,698 |
$156K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,464 |
3,459 |
$122K |
| V2020 |
Frames, purchases |
6,119 |
6,107 |
$117K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,331 |
5,325 |
$104K |
| 92015 |
Determination of refractive state |
7,565 |
7,559 |
$54K |
| 92341 |
|
508 |
507 |
$15K |
| 92250 |
|
193 |
192 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228 |
202 |
$6K |
| 92083 |
|
21 |
21 |
$634.41 |
| 92133 |
|
20 |
20 |
$608.83 |
| 76514 |
|
14 |
14 |
$133.91 |
| 3072F |
|
62 |
62 |
$0.00 |