| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,252 |
1,252 |
$26K |
| V2020 |
Frames, purchases |
1,182 |
1,181 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
782 |
782 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
981 |
980 |
$9K |
| 92015 |
Determination of refractive state |
2,204 |
2,203 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
486 |
448 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
61 |
$840.47 |
| 92341 |
|
62 |
62 |
$715.46 |