| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,945 |
2,910 |
$95K |
| V2020 |
Frames, purchases |
4,919 |
4,849 |
$91K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,086 |
3,983 |
$84K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,975 |
1,963 |
$80K |
| 92250 |
|
1,534 |
1,503 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,338 |
2,078 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
836 |
822 |
$41K |
| 92015 |
Determination of refractive state |
5,141 |
5,076 |
$41K |
| 92341 |
|
755 |
751 |
$22K |
| 92225 |
|
204 |
201 |
$9K |
| V2744 |
Tint, photochromatic, per lens |
175 |
171 |
$6K |
| 92134 |
|
133 |
132 |
$3K |
| 92133 |
|
112 |
108 |
$3K |
| 92201 |
|
37 |
37 |
$1K |