| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
812 |
812 |
$7K |
| V2020 |
Frames, purchases |
957 |
957 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
782 |
782 |
$3K |
| 92015 |
Determination of refractive state |
1,319 |
1,319 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
354 |
354 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
449 |
$2K |
| 92341 |
|
104 |
104 |
$515.16 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
141 |
141 |
$503.17 |