| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,261 |
2,255 |
$21K |
| V2020 |
Frames, purchases |
4,095 |
4,093 |
$19K |
| 92250 |
|
2,021 |
2,014 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,073 |
3,069 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,855 |
1,853 |
$14K |
| 92015 |
Determination of refractive state |
4,329 |
4,325 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
548 |
515 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
479 |
453 |
$2K |
| 92341 |
|
109 |
109 |
$1K |
| 92133 |
|
104 |
103 |
$647.21 |
| 92083 |
|
119 |
118 |
$510.42 |
| 92082 |
|
73 |
73 |
$306.62 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$101.25 |
| 92285 |
|
62 |
61 |
$10.00 |