| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,603 |
1,493 |
$65K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,552 |
2,384 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
454 |
420 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
134 |
$6K |
| 92341 |
|
134 |
130 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$624.00 |
| 92015 |
Determination of refractive state |
46 |
42 |
$342.45 |
| V2020 |
Frames, purchases |
18 |
18 |
$0.00 |