| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,015 |
1,008 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
344 |
338 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
260 |
260 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
389 |
381 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
33 |
$2K |
| V2020 |
Frames, purchases |
13 |
13 |
$413.00 |