| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,354 |
1,348 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
684 |
684 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
583 |
583 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,050 |
1,045 |
$4K |
| 92015 |
Determination of refractive state |
1,277 |
1,277 |
$2K |
| 92341 |
|
213 |
213 |
$629.64 |
| 92250 |
|
43 |
43 |
$189.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
55 |
$172.80 |