| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,695 |
2,690 |
$57K |
| V2020 |
Frames, purchases |
4,089 |
4,076 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,490 |
2,483 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,788 |
3,773 |
$42K |
| 92015 |
Determination of refractive state |
5,397 |
5,384 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
38 |
$959.95 |
| 92341 |
|
24 |
24 |
$543.78 |
| 3072F |
|
301 |
301 |
$0.00 |