| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,767 |
2,765 |
$53K |
| V2020 |
Frames, purchases |
4,860 |
4,829 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,742 |
3,729 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,876 |
1,874 |
$21K |
| 92015 |
Determination of refractive state |
6,240 |
6,197 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
722 |
722 |
$15K |
| 92341 |
|
501 |
500 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
551 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86 |
71 |
$673.92 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
37 |
25 |
$436.55 |
| 92202 |
|
81 |
81 |
$266.69 |