| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,403 |
12,383 |
$1.31M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
21,604 |
21,187 |
$508K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,256 |
3,246 |
$411K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,239 |
4,138 |
$403K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,682 |
3,600 |
$262K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,240 |
1,238 |
$168K |
| 92250 |
|
367 |
367 |
$13K |
| 92060 |
|
59 |
58 |
$3K |
| 92015 |
Determination of refractive state |
16,342 |
16,304 |
$263.52 |
| V2020 |
Frames, purchases |
19,255 |
18,862 |
$0.00 |