| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,896 |
4,879 |
$349K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,113 |
3,069 |
$266K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,411 |
11,146 |
$198K |
| 92015 |
Determination of refractive state |
9,179 |
9,072 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,003 |
1,806 |
$88K |
| 92250 |
|
1,602 |
1,549 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
482 |
460 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
710 |
698 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
828 |
807 |
$22K |
| 92134 |
|
391 |
389 |
$10K |
| V2020 |
Frames, purchases |
64 |
61 |
$3K |
| 92341 |
|
71 |
71 |
$2K |
| 92083 |
|
37 |
37 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
51 |
36 |
$2K |
| 92285 |
|
26 |
26 |
$357.02 |