| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,777 |
1,777 |
$6K |
| V2020 |
Frames, purchases |
2,412 |
2,409 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,901 |
1,900 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,077 |
2,072 |
$5K |
| 92015 |
Determination of refractive state |
3,633 |
3,632 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
410 |
392 |
$923.40 |
| 92341 |
|
220 |
219 |
$601.02 |
| 92250 |
|
211 |
211 |
$227.52 |
| 92133 |
|
24 |
24 |
$141.60 |
| 92083 |
|
14 |
14 |
$39.86 |