| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
9,611 |
9,547 |
$387K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,520 |
8,504 |
$363K |
| V2020 |
Frames, purchases |
12,173 |
12,114 |
$247K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,251 |
10,197 |
$217K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,028 |
3,999 |
$148K |
| 92015 |
Determination of refractive state |
14,107 |
14,009 |
$114K |
| 92341 |
|
1,733 |
1,732 |
$51K |
| 99243 |
|
403 |
403 |
$25K |
| 99242 |
|
115 |
115 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
587 |
580 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150 |
147 |
$3K |
| 99422 |
|
22 |
22 |
$9.74 |