| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,495 |
3,480 |
$123K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,771 |
2,750 |
$93K |
| V2020 |
Frames, purchases |
4,561 |
4,538 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,982 |
3,962 |
$74K |
| 68761 |
|
422 |
290 |
$66K |
| 92015 |
Determination of refractive state |
6,229 |
6,182 |
$44K |
| 92250 |
|
1,025 |
1,019 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,134 |
1,112 |
$39K |
| 92083 |
|
1,033 |
1,025 |
$26K |
| 68801 |
|
177 |
115 |
$25K |
| 92341 |
|
350 |
349 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
936 |
928 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
85 |
$2K |
| 92020 |
|
17 |
17 |
$308.16 |
| 76514 |
|
14 |
14 |
$132.28 |
| 3072F |
|
113 |
113 |
$0.00 |