| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
960 |
959 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
444 |
444 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
960 |
951 |
$8K |
| 92015 |
Determination of refractive state |
1,365 |
1,364 |
$5K |
| V2020 |
Frames, purchases |
295 |
292 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
92 |
91 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
152 |
$932.11 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$22.80 |
| 92083 |
|
16 |
15 |
$0.00 |
| 92250 |
|
15 |
15 |
$0.00 |