| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,803 |
1,799 |
$64K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,619 |
1,617 |
$53K |
| V2020 |
Frames, purchases |
2,855 |
2,840 |
$51K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,530 |
2,518 |
$46K |
| 92015 |
Determination of refractive state |
3,506 |
3,489 |
$24K |
| 92250 |
|
471 |
470 |
$17K |
| 92083 |
|
422 |
421 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
186 |
185 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
67 |
$2K |
| 92341 |
|
47 |
47 |
$1K |