| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
8,030 |
7,856 |
$299K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,416 |
3,368 |
$229K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,516 |
2,479 |
$129K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,148 |
1,117 |
$97K |
| 92250 |
|
1,231 |
1,203 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
569 |
554 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
363 |
338 |
$12K |
| 92083 |
|
69 |
68 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
44 |
42 |
$892.98 |
| V2020 |
Frames, purchases |
38 |
36 |
$867.68 |
| 92134 |
|
36 |
33 |
$820.80 |
| 92285 |
|
14 |
12 |
$325.64 |
| 92133 |
|
12 |
12 |
$282.15 |