| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
787 |
785 |
$21K |
| 92015 |
Determination of refractive state |
2,512 |
2,504 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
702 |
657 |
$12K |
| V2020 |
Frames, purchases |
811 |
805 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
208 |
207 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
622 |
617 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
137 |
$5K |
| 97597 |
|
100 |
91 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
93 |
93 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$1K |
| 99215 |
Prolong outpt/office vis |
19 |
19 |
$1K |
| 11721 |
|
17 |
16 |
$439.14 |