| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
691 |
689 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
452 |
449 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
600 |
596 |
$11K |
| 92015 |
Determination of refractive state |
1,200 |
1,195 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
15 |
$1K |
| 92250 |
|
85 |
85 |
$946.26 |
| V2020 |
Frames, purchases |
13 |
13 |
$247.00 |