| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,559 |
1,559 |
$11K |
| V2020 |
Frames, purchases |
2,266 |
2,265 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,240 |
1,240 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,922 |
1,920 |
$8K |
| 92015 |
Determination of refractive state |
2,967 |
2,966 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
875 |
844 |
$3K |
| 92341 |
|
99 |
99 |
$546.96 |