| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,893 |
1,812 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,379 |
2,104 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
403 |
381 |
$26K |
| 92015 |
Determination of refractive state |
2,601 |
2,458 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
572 |
562 |
$1K |
| V2020 |
Frames, purchases |
1,480 |
1,429 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$542.72 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,341 |
1,306 |
$266.64 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
208 |
201 |
$6.00 |