| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,492 |
4,434 |
$303K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,804 |
4,759 |
$295K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,653 |
6,556 |
$122K |
| 92015 |
Determination of refractive state |
11,244 |
11,083 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
506 |
485 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
342 |
336 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
115 |
114 |
$8K |
| V2020 |
Frames, purchases |
210 |
209 |
$4K |
| 92370 |
|
158 |
152 |
$3K |