| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
598 |
566 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
537 |
469 |
$16K |
| 92015 |
Determination of refractive state |
1,312 |
1,230 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
113 |
107 |
$7K |
| V2020 |
Frames, purchases |
94 |
90 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
28 |
$1K |
| V2025 |
Deluxe frame |
14 |
12 |
$220.00 |