| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,777 |
1,777 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,329 |
1,328 |
$52K |
| V2020 |
Frames, purchases |
2,329 |
2,324 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,156 |
2,149 |
$41K |
| 92015 |
Determination of refractive state |
3,383 |
3,382 |
$24K |
| 92341 |
|
124 |
121 |
$4K |
| 92250 |
|
61 |
39 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$259.20 |