| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
68 |
68 |
$970.60 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
24 |
24 |
$181.22 |
| 92015 |
Determination of refractive state |
26 |
26 |
$124.00 |
| 92083 |
|
12 |
12 |
$112.18 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
61 |
61 |
$80.64 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
62 |
$74.62 |
| 92134 |
|
70 |
70 |
$48.19 |
| 2022F |
|
43 |
41 |
$0.00 |
| 2026F |
|
15 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
90 |
$0.00 |
| 2024F |
|
15 |
14 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
14 |
$0.00 |