| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
1,299 |
637 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,050 |
3,050 |
$34K |
| V2020 |
Frames, purchases |
3,983 |
3,983 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
676 |
650 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,182 |
3,182 |
$17K |
| 92250 |
|
836 |
835 |
$16K |
| 83861 |
|
1,022 |
902 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,122 |
1,122 |
$13K |
| 83516 |
|
958 |
851 |
$12K |
| 92015 |
Determination of refractive state |
4,724 |
4,723 |
$10K |
| 92133 |
|
552 |
551 |
$8K |
| 92083 |
|
752 |
748 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,227 |
1,157 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
249 |
248 |
$4K |
| 92020 |
|
418 |
417 |
$3K |
| 92341 |
|
286 |
286 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
390 |
388 |
$1K |
| 92283 |
|
97 |
97 |
$1K |
| 76514 |
|
165 |
165 |
$765.24 |