| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,635 |
3,632 |
$95K |
| V2020 |
Frames, purchases |
5,181 |
5,172 |
$66K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,818 |
2,816 |
$56K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,202 |
4,194 |
$49K |
| 92015 |
Determination of refractive state |
6,809 |
6,803 |
$30K |
| 92341 |
|
438 |
437 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
91 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$888.68 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$170.12 |