| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,013 |
1,013 |
$17K |
| 92250 |
|
1,135 |
1,132 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
686 |
683 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
182 |
169 |
$4K |
| V2020 |
Frames, purchases |
321 |
321 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
343 |
343 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
100 |
$3K |
| 92015 |
Determination of refractive state |
860 |
860 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
88 |
$1K |
| 92133 |
|
56 |
56 |
$645.54 |
| 92134 |
|
14 |
14 |
$283.20 |
| 92083 |
|
12 |
12 |
$19.93 |