| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
201 |
201 |
$7K |
| 92015 |
Determination of refractive state |
488 |
486 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
97 |
95 |
$3K |
| V2020 |
Frames, purchases |
148 |
148 |
$3K |
| 92002 |
|
57 |
56 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
16 |
$339.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$154.05 |