| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,295 |
2,293 |
$157K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,466 |
2,387 |
$125K |
| 92015 |
Determination of refractive state |
6,875 |
6,546 |
$79K |
| 99215 |
Prolong outpt/office vis |
814 |
779 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
603 |
602 |
$61K |
| 92225 |
|
282 |
142 |
$7K |
| V2020 |
Frames, purchases |
40 |
40 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
27 |
24 |
$772.47 |