| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
3,065 |
3,035 |
$43K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,735 |
1,735 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,175 |
1,172 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,829 |
1,798 |
$25K |
| 92341 |
|
1,124 |
1,124 |
$25K |
| 92015 |
Determination of refractive state |
3,106 |
3,103 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
178 |
178 |
$441.26 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$67.34 |