| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
1,244 |
659 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,728 |
1,726 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,180 |
1,180 |
$19K |
| V2020 |
Frames, purchases |
692 |
691 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
456 |
450 |
$6K |
| 92015 |
Determination of refractive state |
1,678 |
1,677 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
351 |
349 |
$2K |
| 68801 |
|
828 |
478 |
$2K |
| 92250 |
|
159 |
159 |
$1K |
| 92083 |
|
173 |
173 |
$582.07 |
| 92341 |
|
68 |
67 |
$521.34 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$21.60 |