| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,737 |
2,737 |
$125K |
| V2020 |
Frames, purchases |
5,896 |
5,866 |
$116K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,801 |
2,801 |
$99K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,546 |
4,543 |
$90K |
| 92250 |
|
1,922 |
1,921 |
$79K |
| 92015 |
Determination of refractive state |
5,580 |
5,580 |
$41K |
| 92341 |
|
700 |
699 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
219 |
185 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132 |
121 |
$3K |
| 92083 |
|
13 |
13 |
$362.01 |