| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,555 |
2,484 |
$163K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,834 |
1,792 |
$162K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
716 |
698 |
$47K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
518 |
510 |
$24K |
| 92015 |
Determination of refractive state |
2,759 |
2,693 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
57 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$1K |
| 92370 |
|
37 |
36 |
$1K |
| V2020 |
Frames, purchases |
69 |
40 |
$834.00 |
| 92002 |
|
17 |
17 |
$826.72 |