| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,976 |
1,961 |
$96K |
| 92250 |
|
872 |
864 |
$31K |
| V2020 |
Frames, purchases |
1,364 |
1,346 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
843 |
840 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,797 |
1,098 |
$24K |
| 92015 |
Determination of refractive state |
2,910 |
2,890 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
494 |
451 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
681 |
622 |
$11K |
| 92133 |
|
267 |
266 |
$7K |
| 92341 |
|
239 |
122 |
$5K |
| 92083 |
|
62 |
61 |
$2K |
| 76514 |
|
105 |
105 |
$1K |
| 92020 |
|
28 |
28 |
$628.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$61.98 |