| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,691 |
1,690 |
$32K |
| 92250 |
|
2,345 |
2,343 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,931 |
1,929 |
$27K |
| V2020 |
Frames, purchases |
1,879 |
1,878 |
$22K |
| 92082 |
|
2,657 |
2,657 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,437 |
1,436 |
$17K |
| 92015 |
Determination of refractive state |
929 |
929 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
255 |
249 |
$3K |
| 92341 |
|
79 |
79 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
61 |
$43.20 |