| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
7,577 |
7,573 |
$128K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,404 |
3,403 |
$126K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,827 |
5,825 |
$100K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,091 |
3,087 |
$94K |
| 92015 |
Determination of refractive state |
7,125 |
7,123 |
$46K |
| 92341 |
|
752 |
752 |
$23K |
| 92250 |
|
70 |
70 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
63 |
63 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
92 |
$2K |
| 92370 |
|
322 |
322 |
$0.00 |
| 3072F |
|
639 |
639 |
$0.00 |