| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,482 |
3,479 |
$146K |
| V2020 |
Frames, purchases |
5,056 |
5,050 |
$101K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,022 |
5,015 |
$100K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,326 |
2,326 |
$83K |
| 92015 |
Determination of refractive state |
5,883 |
5,878 |
$44K |
| 92341 |
|
509 |
508 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
646 |
614 |
$9K |
| 92250 |
|
181 |
181 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
92 |
92 |
$3K |
| 92081 |
|
87 |
87 |
$2K |
| 92083 |
|
31 |
31 |
$666.00 |