| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,080 |
2,075 |
$96K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,250 |
3,224 |
$67K |
| V2020 |
Frames, purchases |
3,327 |
3,298 |
$67K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
917 |
914 |
$34K |
| 92015 |
Determination of refractive state |
4,017 |
3,994 |
$31K |
| 92082 |
|
600 |
599 |
$20K |
| 99205 |
Prolong outpt/office vis |
133 |
132 |
$11K |
| 92341 |
|
61 |
61 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$763.55 |
| 99243 |
|
12 |
12 |
$714.00 |