| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
330 |
330 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
94 |
94 |
$710.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
169 |
169 |
$678.65 |
| 92015 |
Determination of refractive state |
335 |
335 |
$569.59 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
30 |
30 |
$71.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
28 |
$64.80 |
| 92341 |
|
14 |
14 |
$57.24 |