| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,633 |
1,633 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,716 |
1,716 |
$34K |
| V2020 |
Frames, purchases |
2,328 |
2,327 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,130 |
2,129 |
$24K |
| 92015 |
Determination of refractive state |
3,607 |
3,607 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,312 |
1,290 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
277 |
276 |
$5K |
| 92341 |
|
12 |
12 |
$323.40 |