| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92065 |
|
1,118 |
259 |
$25K |
| 92015 |
Determination of refractive state |
827 |
646 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
284 |
238 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
270 |
172 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
328 |
275 |
$10K |
| 97533 |
|
463 |
113 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128 |
117 |
$3K |
| V2020 |
Frames, purchases |
304 |
214 |
$943.20 |
| 92060 |
|
28 |
27 |
$697.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
44 |
$509.51 |
| 92341 |
|
13 |
13 |
$380.64 |
| 3072F |
|
85 |
74 |
$0.00 |