| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
2,556 |
1,075 |
$135K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,134 |
3,134 |
$65K |
| V2020 |
Frames, purchases |
3,531 |
3,530 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,882 |
1,882 |
$38K |
| 68840 |
|
178 |
89 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,045 |
3,043 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,946 |
1,753 |
$23K |
| 92015 |
Determination of refractive state |
5,961 |
5,961 |
$22K |
| 83861 |
|
1,473 |
1,099 |
$16K |
| 83516 |
|
1,421 |
1,063 |
$10K |
| 92341 |
|
72 |
72 |
$1K |
| 76514 |
|
335 |
334 |
$788.06 |
| 92100 |
|
819 |
662 |
$596.37 |
| 92250 |
|
1,234 |
1,234 |
$455.04 |
| 92083 |
|
596 |
552 |
$100.28 |
| 92133 |
|
19 |
19 |
$95.79 |
| 92020 |
|
35 |
35 |
$95.10 |
| 92285 |
|
522 |
400 |
$76.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$74.26 |