| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,044 |
2,037 |
$74K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,365 |
1,362 |
$47K |
| V2020 |
Frames, purchases |
2,248 |
2,238 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,078 |
2,066 |
$40K |
| 92015 |
Determination of refractive state |
3,532 |
3,518 |
$25K |
| 92250 |
|
65 |
64 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
45 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
117 |
117 |
$883.08 |
| 92341 |
|
25 |
25 |
$658.22 |