| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
924 |
922 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$993.20 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$601.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
17 |
$553.32 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
39 |
39 |
$520.63 |
| 92202 |
|
17 |
17 |
$302.88 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
596 |
595 |
$213.00 |
| V2020 |
Frames, purchases |
1,055 |
1,040 |
$126.60 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,296 |
1,250 |
$106.60 |