| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,906 |
4,865 |
$252K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,258 |
6,174 |
$112K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,530 |
1,517 |
$92K |
| 92015 |
Determination of refractive state |
6,479 |
6,419 |
$53K |
| 92310 |
|
1,033 |
975 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
286 |
254 |
$11K |
| 92250 |
|
421 |
413 |
$7K |
| 92341 |
|
204 |
201 |
$5K |
| 92314 |
|
14 |
14 |
$498.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$383.73 |
| 92133 |
|
12 |
12 |
$226.10 |
| V2020 |
Frames, purchases |
58 |
58 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
14 |
14 |
$0.00 |