| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
5,900 |
5,630 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,122 |
3,923 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,564 |
4,366 |
$30K |
| 92015 |
Determination of refractive state |
8,127 |
7,690 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,812 |
2,640 |
$20K |
| 92250 |
|
1,629 |
1,506 |
$11K |
| 92341 |
|
364 |
354 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
128 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
103 |
$852.51 |
| 92285 |
|
305 |
173 |
$696.76 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
39 |
$315.16 |
| 99058 |
|
14 |
14 |
$30.00 |
| 99051 |
|
14 |
14 |
$9.00 |