| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
691 |
690 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
796 |
795 |
$3K |
| V2020 |
Frames, purchases |
975 |
974 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
422 |
422 |
$2K |
| 92015 |
Determination of refractive state |
1,179 |
1,179 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
214 |
$1K |
| 92341 |
|
89 |
89 |
$486.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
260 |
248 |
$461.23 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
40 |
40 |
$142.31 |