| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,384 |
1,383 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,317 |
1,316 |
$46K |
| V2020 |
Frames, purchases |
1,883 |
1,882 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,623 |
1,623 |
$31K |
| 92015 |
Determination of refractive state |
2,746 |
2,745 |
$21K |
| 92341 |
|
85 |
85 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
52 |
$992.72 |