| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,844 |
3,468 |
$601K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,722 |
1,559 |
$325K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,253 |
3,112 |
$152K |
| 92015 |
Determination of refractive state |
5,628 |
4,993 |
$148K |
| 92341 |
|
221 |
209 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
25 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$1K |
| 92250 |
|
29 |
24 |
$938.10 |
| 92370 |
|
78 |
74 |
$740.00 |
| V2020 |
Frames, purchases |
14 |
14 |
$0.00 |