| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V2020 |
Frames, purchases |
15,973 |
15,949 |
$266K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,953 |
10,947 |
$241K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12,659 |
12,649 |
$157K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,602 |
3,602 |
$94K |
| 92015 |
Determination of refractive state |
15,444 |
15,437 |
$72K |
| 92341 |
|
2,530 |
2,530 |
$49K |
| 92133 |
|
24 |
24 |
$499.53 |
| 92083 |
|
31 |
31 |
$341.02 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$151.20 |
| 76514 |
|
14 |
14 |
$72.88 |
| 3072F |
|
71 |
71 |
$0.00 |