| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,251 |
1,231 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
557 |
555 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
478 |
475 |
$13K |
| 92015 |
Determination of refractive state |
3,265 |
3,196 |
$13K |
| V2020 |
Frames, purchases |
505 |
505 |
$10K |
| 92250 |
|
332 |
329 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
274 |
274 |
$5K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
15 |
15 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
69 |
$1K |
| 99205 |
Prolong outpt/office vis |
21 |
21 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
69 |
67 |
$1K |
| 92136 |
|
52 |
51 |
$278.23 |
| 92341 |
|
13 |
13 |
$261.17 |