| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,776 |
5,776 |
$169K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,323 |
5,322 |
$168K |
| V2020 |
Frames, purchases |
8,126 |
8,124 |
$159K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,083 |
8,080 |
$156K |
| 92015 |
Determination of refractive state |
10,588 |
10,587 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,548 |
2,443 |
$55K |
| 92250 |
|
1,563 |
1,561 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
892 |
886 |
$27K |
| 92341 |
|
983 |
983 |
$26K |
| 99058 |
|
241 |
237 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$908.36 |
| 92133 |
|
24 |
24 |
$757.73 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$562.26 |