| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,864 |
1,864 |
$19K |
| 92250 |
|
834 |
826 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,390 |
1,389 |
$15K |
| 99205 |
Prolong outpt/office vis |
532 |
524 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
620 |
620 |
$12K |
| 92225 |
|
620 |
416 |
$10K |
| 92015 |
Determination of refractive state |
1,972 |
1,972 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
282 |
282 |
$6K |
| 92082 |
|
628 |
624 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
81 |
$3K |
| 99215 |
Prolong outpt/office vis |
92 |
92 |
$2K |
| 92020 |
|
238 |
234 |
$2K |
| 92341 |
|
52 |
52 |
$810.24 |
| 92100 |
|
280 |
275 |
$670.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$327.41 |
| 92083 |
|
12 |
12 |
$59.79 |