| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,822 |
1,352 |
$125K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
660 |
498 |
$65K |
| V2020 |
Frames, purchases |
305 |
274 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
233 |
220 |
$8K |
| 92250 |
|
282 |
225 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
291 |
262 |
$3K |
| 92060 |
|
498 |
350 |
$3K |
| 92015 |
Determination of refractive state |
739 |
569 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
318 |
298 |
$63.27 |
| 92083 |
|
68 |
52 |
$0.00 |