| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,241 |
4,225 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,291 |
3,290 |
$65K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,106 |
6,093 |
$60K |
| V2020 |
Frames, purchases |
6,154 |
6,143 |
$60K |
| 92285 |
|
4,352 |
2,746 |
$50K |
| 68761 |
|
1,114 |
410 |
$42K |
| 92250 |
|
1,715 |
1,712 |
$30K |
| 92015 |
Determination of refractive state |
7,586 |
7,572 |
$27K |
| 92273 |
|
110 |
55 |
$13K |
| 92083 |
|
1,224 |
1,216 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
165 |
161 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
37 |
$138.33 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
157 |
$124.02 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
102 |
$40.90 |
| 3072F |
|
18 |
18 |
$0.00 |