| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
515 |
480 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
869 |
811 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
382 |
351 |
$17K |
| 92015 |
Determination of refractive state |
751 |
680 |
$6K |
| 92341 |
|
44 |
41 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$406.55 |
| 92250 |
|
15 |
15 |
$268.55 |
| V2020 |
Frames, purchases |
31 |
28 |
$230.00 |