| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
241 |
224 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
105 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
12 |
$385.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15 |
14 |
$303.10 |
| V2020 |
Frames, purchases |
124 |
110 |
$67.13 |