| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,197 |
4,196 |
$73K |
| V2020 |
Frames, purchases |
5,243 |
5,219 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,456 |
4,437 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,754 |
1,753 |
$23K |
| 92015 |
Determination of refractive state |
6,101 |
6,099 |
$19K |
| 92341 |
|
573 |
573 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
689 |
613 |
$8K |
| 92250 |
|
216 |
214 |
$3K |
| 92133 |
|
85 |
85 |
$857.99 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
73 |
$680.45 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
26 |
$293.20 |
| 92082 |
|
26 |
26 |
$188.58 |