| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,490 |
4,484 |
$143K |
| V2020 |
Frames, purchases |
5,398 |
5,379 |
$77K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,752 |
4,733 |
$69K |
| 92015 |
Determination of refractive state |
6,132 |
6,125 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,145 |
1,145 |
$27K |
| 92341 |
|
460 |
458 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
313 |
293 |
$5K |
| 92133 |
|
12 |
12 |
$200.16 |