| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,121 |
2,102 |
$93K |
| V2020 |
Frames, purchases |
2,430 |
2,385 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,929 |
1,895 |
$47K |
| 92250 |
|
1,029 |
930 |
$41K |
| 92015 |
Determination of refractive state |
2,371 |
2,331 |
$19K |
| 92341 |
|
479 |
466 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
176 |
174 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
126 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$445.44 |
| 92370 |
|
58 |
58 |
$406.48 |