| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,452 |
9,863 |
$136K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
11,129 |
7,609 |
$109K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15,801 |
10,650 |
$104K |
| 92015 |
Determination of refractive state |
1,186 |
1,053 |
$3K |
| 92002 |
|
503 |
338 |
$3K |
| 92341 |
|
266 |
250 |
$798.05 |
| 92202 |
|
4,808 |
3,198 |
$482.49 |
| 92285 |
|
828 |
492 |
$391.51 |
| V2020 |
Frames, purchases |
117 |
92 |
$121.95 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
29 |
$110.50 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
74 |
62 |
$48.40 |