| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,716 |
1,707 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
611 |
611 |
$23K |
| V2020 |
Frames, purchases |
2,477 |
2,473 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,973 |
1,969 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,367 |
1,367 |
$15K |
| 92250 |
|
302 |
302 |
$7K |
| 92015 |
Determination of refractive state |
2,429 |
2,428 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
184 |
$6K |
| 92341 |
|
187 |
186 |
$3K |
| 92083 |
|
24 |
24 |
$79.72 |