| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
4,315 |
4,312 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,700 |
1,700 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,358 |
3,347 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,901 |
2,894 |
$3K |
| 92015 |
Determination of refractive state |
5,956 |
5,950 |
$2K |
| 92341 |
|
87 |
87 |
$94.44 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$23.76 |