| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,521 |
1,520 |
$39K |
| V2020 |
Frames, purchases |
2,465 |
2,463 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,143 |
2,130 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
992 |
990 |
$24K |
| 92015 |
Determination of refractive state |
2,858 |
2,853 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
88 |
$2K |
| 92341 |
|
37 |
37 |
$606.74 |