| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,348 |
1,280 |
$71K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
489 |
468 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,447 |
1,341 |
$25K |
| 92015 |
Determination of refractive state |
2,410 |
2,284 |
$23K |
| 92250 |
|
237 |
198 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
26 |
$1K |
| V2020 |
Frames, purchases |
83 |
78 |
$751.00 |
| 92341 |
|
13 |
13 |
$288.12 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$32.00 |
| 99072 |
|
36 |
36 |
$0.00 |