| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
237 |
237 |
$5K |
| 92015 |
Determination of refractive state |
841 |
841 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
94 |
94 |
$2K |
| V2020 |
Frames, purchases |
91 |
91 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$846.13 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
64 |
64 |
$798.81 |
| 92201 |
|
14 |
14 |
$309.54 |