| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
533 |
530 |
$19K |
| V2020 |
Frames, purchases |
605 |
605 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
521 |
519 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
193 |
192 |
$7K |
| 92015 |
Determination of refractive state |
763 |
759 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
42 |
$907.20 |
| 92341 |
|
30 |
30 |
$858.60 |