| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
403 |
403 |
$13K |
| V2020 |
Frames, purchases |
612 |
612 |
$11K |
| 92285 |
|
234 |
127 |
$9K |
| 92341 |
|
268 |
268 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
221 |
221 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
378 |
378 |
$6K |
| 92015 |
Determination of refractive state |
660 |
660 |
$4K |
| 92250 |
|
28 |
28 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
26 |
$626.40 |