| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,231 |
7,202 |
$287K |
| V2020 |
Frames, purchases |
6,487 |
6,478 |
$134K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,798 |
4,786 |
$102K |
| 92015 |
Determination of refractive state |
9,444 |
9,395 |
$74K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,172 |
1,168 |
$44K |
| 92341 |
|
1,273 |
1,268 |
$40K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
347 |
345 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$2K |