| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,328 |
1,273 |
$58K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,084 |
1,501 |
$57K |
| 92250 |
|
1,613 |
1,584 |
$49K |
| 92015 |
Determination of refractive state |
1,818 |
1,744 |
$27K |
| 92370 |
|
1,642 |
1,623 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
76 |
76 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$628.43 |
| V2020 |
Frames, purchases |
25 |
25 |
$515.44 |