| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,957 |
2,951 |
$211K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,852 |
1,828 |
$100K |
| 92015 |
Determination of refractive state |
4,990 |
4,881 |
$63K |
| 92225 |
|
512 |
260 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
693 |
621 |
$20K |
| 92083 |
|
108 |
107 |
$8K |
| 92341 |
|
62 |
57 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
30 |
$2K |
| V2020 |
Frames, purchases |
15 |
15 |
$1K |