| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
782 |
774 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
661 |
645 |
$23K |
| 92015 |
Determination of refractive state |
266 |
263 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
68 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
108 |
108 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$2K |
| V2020 |
Frames, purchases |
139 |
139 |
$1K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
127 |
127 |
$1K |