| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
244 |
244 |
$17K |
| 92015 |
Determination of refractive state |
229 |
221 |
$3K |
| 92341 |
|
34 |
34 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
34 |
34 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
22 |
$1K |
| 92250 |
|
17 |
17 |
$784.16 |
| V2020 |
Frames, purchases |
27 |
16 |
$82.50 |