| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,177 |
984 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
419 |
351 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
178 |
136 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
157 |
121 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
14 |
$395.36 |
| V2020 |
Frames, purchases |
40 |
28 |
$250.00 |