| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,874 |
1,874 |
$34K |
| 92250 |
|
752 |
750 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
865 |
850 |
$25K |
| V2020 |
Frames, purchases |
2,147 |
2,147 |
$21K |
| 92341 |
|
762 |
762 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,244 |
1,244 |
$12K |
| 92015 |
Determination of refractive state |
3,083 |
3,083 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
656 |
656 |
$11K |