| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
91 |
91 |
$3K |
| 92015 |
Determination of refractive state |
168 |
168 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
44 |
44 |
$601.09 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$497.00 |
| V2020 |
Frames, purchases |
31 |
31 |
$268.52 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
84 |
$0.00 |