| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,156 |
3,040 |
$197K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,057 |
2,966 |
$137K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
385 |
363 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
784 |
721 |
$29K |
| 92015 |
Determination of refractive state |
3,809 |
3,625 |
$16K |
| 92370 |
|
520 |
496 |
$14K |
| 92250 |
|
260 |
232 |
$9K |
| 92083 |
|
150 |
129 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
70 |
63 |
$4K |
| 92002 |
|
26 |
25 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$1K |
| 92341 |
|
15 |
15 |
$858.00 |
| V2020 |
Frames, purchases |
103 |
59 |
$567.00 |
| S9999 |
Sales tax |
14 |
14 |
$22.14 |
| 99072 |
|
138 |
138 |
$0.00 |