| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,978 |
2,978 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,408 |
3,407 |
$7K |
| V2020 |
Frames, purchases |
3,923 |
3,921 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,646 |
3,640 |
$5K |
| 92015 |
Determination of refractive state |
6,417 |
6,416 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
88 |
$4K |
| 92341 |
|
468 |
468 |
$1K |