| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
277 |
277 |
$3K |
| 92015 |
Determination of refractive state |
1,056 |
1,055 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
366 |
366 |
$499.55 |
| V2020 |
Frames, purchases |
137 |
137 |
$280.04 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
140 |
140 |
$242.33 |
| 92250 |
|
12 |
12 |
$37.92 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
58 |
$0.00 |