| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
782 |
678 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376 |
348 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
99 |
81 |
$7K |
| 92015 |
Determination of refractive state |
474 |
415 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
242 |
110 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125 |
103 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
209 |
179 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
24 |
$4K |
| 92250 |
|
156 |
147 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
63 |
52 |
$1K |
| V2020 |
Frames, purchases |
18 |
14 |
$664.99 |