| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,319 |
1,309 |
$38K |
| 92015 |
Determination of refractive state |
2,110 |
2,099 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
429 |
429 |
$16K |
| V2020 |
Frames, purchases |
679 |
679 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
274 |
274 |
$5K |
| 92341 |
|
53 |
53 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$2K |
| 92133 |
|
67 |
67 |
$975.02 |
| 92083 |
|
55 |
55 |
$750.20 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
44 |
44 |
$706.99 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$587.18 |
| 76514 |
|
25 |
25 |
$134.72 |