| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,416 |
2,415 |
$83K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,598 |
2,597 |
$75K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,858 |
3,856 |
$75K |
| V2020 |
Frames, purchases |
3,795 |
3,793 |
$74K |
| 92015 |
Determination of refractive state |
5,078 |
5,077 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
474 |
452 |
$16K |
| 92341 |
|
528 |
528 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
82 |
$2K |
| 92133 |
|
26 |
26 |
$893.36 |
| V2744 |
Tint, photochromatic, per lens |
46 |
46 |
$826.16 |