| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
1,448 |
1,437 |
$59K |
| V2020 |
Frames, purchases |
1,810 |
1,791 |
$37K |
| 99205 |
Prolong outpt/office vis |
451 |
448 |
$37K |
| 92225 |
|
607 |
341 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,362 |
1,358 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
569 |
569 |
$22K |
| 92015 |
Determination of refractive state |
2,549 |
2,527 |
$20K |
| 92082 |
|
823 |
815 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
169 |
168 |
$7K |
| 92100 |
|
208 |
207 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
76 |
$5K |
| 92020 |
|
211 |
208 |
$4K |
| 92201 |
|
60 |
60 |
$3K |
| 99215 |
Prolong outpt/office vis |
41 |
38 |
$2K |
| 92341 |
|
50 |
50 |
$2K |
| 92202 |
|
58 |
58 |
$1K |
| 92083 |
|
19 |
19 |
$416.48 |