| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,025 |
3,014 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,489 |
2,488 |
$58K |
| V2020 |
Frames, purchases |
4,817 |
4,803 |
$55K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,350 |
4,324 |
$50K |
| 92015 |
Determination of refractive state |
5,919 |
5,913 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
987 |
932 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
552 |
546 |
$8K |
| 92250 |
|
379 |
378 |
$7K |
| 92285 |
|
294 |
233 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
173 |
173 |
$5K |
| 92133 |
|
189 |
188 |
$3K |
| 92341 |
|
136 |
136 |
$2K |
| 92283 |
|
85 |
85 |
$661.88 |
| 92083 |
|
28 |
27 |
$323.61 |
| 92020 |
|
12 |
12 |
$33.78 |
| 76514 |
|
12 |
12 |
$18.64 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
14 |
$0.00 |