| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
446 |
350 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
114 |
108 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
70 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
27 |
$2K |
| 92250 |
|
133 |
118 |
$894.59 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12 |
12 |
$265.80 |
| 92015 |
Determination of refractive state |
197 |
139 |
$26.00 |
| V2020 |
Frames, purchases |
15 |
15 |
$0.00 |