| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
775 |
774 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
616 |
616 |
$31K |
| 92015 |
Determination of refractive state |
1,391 |
1,390 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
514 |
513 |
$15K |
| V2020 |
Frames, purchases |
420 |
420 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$691.20 |