| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,325 |
2,308 |
$21K |
| V2020 |
Frames, purchases |
3,204 |
3,203 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,573 |
2,573 |
$13K |
| 92134 |
|
1,298 |
1,284 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,160 |
1,160 |
$9K |
| 92015 |
Determination of refractive state |
3,715 |
3,685 |
$7K |
| 92341 |
|
438 |
438 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119 |
109 |
$1K |
| 92133 |
|
67 |
67 |
$566.40 |
| 92083 |
|
78 |
78 |
$338.81 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
35 |
$236.25 |