| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
3,997 |
2,315 |
$862K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,625 |
5,602 |
$212K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,033 |
5,005 |
$178K |
| V2020 |
Frames, purchases |
6,936 |
6,873 |
$139K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,481 |
5,420 |
$114K |
| 92015 |
Determination of refractive state |
11,410 |
11,342 |
$87K |
| 92225 |
|
571 |
557 |
$53K |
| 92341 |
|
1,059 |
1,050 |
$31K |
| 92273 |
|
244 |
242 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
317 |
310 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
342 |
339 |
$19K |
| 92250 |
|
450 |
448 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,648 |
1,616 |
$13K |
| 99215 |
Prolong outpt/office vis |
59 |
59 |
$3K |
| 92083 |
|
24 |
24 |
$497.17 |
| 92134 |
|
12 |
12 |
$428.34 |
| 92202 |
|
12 |
12 |
$194.46 |