| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,228 |
1,223 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
604 |
598 |
$23K |
| 92015 |
Determination of refractive state |
2,136 |
2,118 |
$17K |
| V2020 |
Frames, purchases |
781 |
778 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
645 |
637 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
269 |
243 |
$10K |
| 92341 |
|
12 |
12 |
$377.76 |