| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,169 |
2,161 |
$56K |
| V2020 |
Frames, purchases |
2,681 |
2,671 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,673 |
1,665 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,259 |
2,249 |
$28K |
| 92015 |
Determination of refractive state |
3,693 |
3,691 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
188 |
187 |
$3K |
| 92341 |
|
106 |
106 |
$2K |
| 92250 |
|
192 |
192 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
304 |
304 |
$639.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
89 |
$204.22 |
| 92285 |
|
39 |
39 |
$134.90 |
| 92081 |
|
13 |
13 |
$87.90 |
| 92083 |
|
26 |
26 |
$56.46 |
| 67820 |
|
13 |
13 |
$12.58 |