| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,414 |
4,192 |
$279K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,035 |
3,851 |
$249K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,223 |
2,133 |
$194K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,137 |
899 |
$43K |
| 92341 |
|
731 |
672 |
$41K |
| 92015 |
Determination of refractive state |
5,641 |
5,338 |
$26K |
| 92133 |
|
55 |
52 |
$2K |
| 92250 |
|
49 |
42 |
$2K |
| V2020 |
Frames, purchases |
285 |
183 |
$903.75 |
| 92310 |
|
15 |
12 |
$836.88 |
| 92370 |
|
27 |
26 |
$755.45 |
| 92083 |
|
16 |
12 |
$607.44 |
| S9999 |
Sales tax |
12 |
12 |
$31.56 |