| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
894 |
886 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
705 |
705 |
$25K |
| V2020 |
Frames, purchases |
1,055 |
1,054 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
862 |
861 |
$17K |
| 92015 |
Determination of refractive state |
1,099 |
1,099 |
$8K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
107 |
107 |
$5K |