| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
1,804 |
1,183 |
$195K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,835 |
2,829 |
$82K |
| V2020 |
Frames, purchases |
2,959 |
2,958 |
$44K |
| 83861 |
|
1,666 |
1,095 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,160 |
1,158 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,140 |
1,082 |
$20K |
| 92015 |
Determination of refractive state |
4,219 |
4,202 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,670 |
2,666 |
$19K |
| 92250 |
|
2,068 |
2,065 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
325 |
306 |
$11K |
| 92083 |
|
479 |
477 |
$10K |
| 92133 |
|
192 |
192 |
$5K |
| 92020 |
|
194 |
194 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
163 |
163 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
83 |
$2K |
| 92341 |
|
72 |
72 |
$1K |
| 76514 |
|
115 |
115 |
$632.41 |
| 92283 |
|
35 |
35 |
$530.04 |
| 92002 |
|
13 |
13 |
$206.64 |
| 83516 |
|
359 |
228 |
$86.90 |