| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,516 |
2,514 |
$16K |
| V2020 |
Frames, purchases |
2,377 |
2,374 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,063 |
2,061 |
$8K |
| 92250 |
|
637 |
636 |
$4K |
| 92015 |
Determination of refractive state |
3,083 |
3,080 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
328 |
328 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
213 |
$948.76 |
| 92341 |
|
57 |
57 |
$347.72 |
| 92083 |
|
30 |
30 |
$195.00 |
| 92133 |
|
18 |
18 |
$177.84 |