| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
445 |
441 |
$10K |
| 92015 |
Determination of refractive state |
605 |
605 |
$3K |
| V2020 |
Frames, purchases |
164 |
164 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
75 |
75 |
$962.64 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$90.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 92250 |
|
13 |
13 |
$0.00 |