| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
145 |
139 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
134 |
130 |
$5K |
| 92225 |
|
32 |
31 |
$4K |
| V2020 |
Frames, purchases |
156 |
152 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
134 |
129 |
$3K |
| 92015 |
Determination of refractive state |
287 |
277 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
48 |
$1K |
| 92134 |
|
18 |
17 |
$700.92 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
15 |
15 |
$59.40 |