| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
4,671 |
4,635 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,270 |
2,256 |
$78K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,789 |
3,767 |
$71K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,015 |
2,001 |
$66K |
| 92015 |
Determination of refractive state |
5,218 |
5,171 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
206 |
204 |
$14K |
| 92341 |
|
399 |
398 |
$12K |
| 92250 |
|
189 |
188 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
105 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
40 |
$1K |