| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,271 |
1,259 |
$84K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
965 |
956 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
732 |
657 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
570 |
538 |
$26K |
| 92015 |
Determination of refractive state |
2,596 |
2,567 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,055 |
995 |
$16K |
| 92250 |
|
472 |
462 |
$7K |
| 92083 |
|
285 |
279 |
$7K |
| 92133 |
|
104 |
103 |
$1K |
| V2020 |
Frames, purchases |
25 |
25 |
$487.00 |