| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,250 |
8,247 |
$324K |
| V2020 |
Frames, purchases |
11,041 |
11,036 |
$200K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,061 |
9,055 |
$165K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,955 |
2,955 |
$96K |
| 92015 |
Determination of refractive state |
11,231 |
11,229 |
$76K |
| 92250 |
|
1,883 |
1,880 |
$65K |
| 92341 |
|
1,987 |
1,986 |
$54K |
| 92025 |
|
1,985 |
1,982 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
894 |
863 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
330 |
330 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98 |
92 |
$2K |
| 92370 |
|
266 |
258 |
$1K |
| 92133 |
|
16 |
16 |
$432.44 |
| 92083 |
|
16 |
16 |
$412.03 |
| 76514 |
|
12 |
12 |
$101.73 |