| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,352 |
3,342 |
$210K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,462 |
2,449 |
$154K |
| 92250 |
|
2,020 |
2,017 |
$142K |
| V2020 |
Frames, purchases |
3,550 |
3,532 |
$126K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,994 |
2,974 |
$106K |
| 92015 |
Determination of refractive state |
5,840 |
5,816 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
971 |
738 |
$38K |
| 92341 |
|
410 |
410 |
$21K |