| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
579 |
579 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
534 |
534 |
$22K |
| 92015 |
Determination of refractive state |
1,320 |
1,317 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181 |
175 |
$7K |
| 92250 |
|
167 |
163 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
84 |
84 |
$2K |
| 92002 |
|
62 |
62 |
$2K |
| V2020 |
Frames, purchases |
27 |
27 |
$1K |
| 92025 |
|
54 |
54 |
$826.18 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
27 |
27 |
$347.22 |