| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,217 |
3,203 |
$98K |
| V2020 |
Frames, purchases |
4,270 |
4,240 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,288 |
2,279 |
$66K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,320 |
3,288 |
$57K |
| 92015 |
Determination of refractive state |
5,786 |
5,767 |
$35K |
| 68761 |
|
434 |
213 |
$31K |
| 92341 |
|
296 |
296 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
54 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$405.00 |
| 92250 |
|
12 |
12 |
$288.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$133.51 |