| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,265 |
6,188 |
$204K |
| V2020 |
Frames, purchases |
8,971 |
8,724 |
$160K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,655 |
6,418 |
$125K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,060 |
3,017 |
$94K |
| 92015 |
Determination of refractive state |
10,835 |
10,634 |
$78K |
| 92341 |
|
1,691 |
1,660 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
574 |
571 |
$30K |
| 92225 |
|
370 |
363 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
804 |
791 |
$17K |
| 92201 |
|
600 |
598 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
48 |
$950.40 |