| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,021 |
1,019 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,584 |
1,582 |
$7K |
| V2020 |
Frames, purchases |
1,724 |
1,723 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
865 |
865 |
$6K |
| 92015 |
Determination of refractive state |
2,282 |
2,280 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
361 |
355 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
38 |
38 |
$243.96 |