| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,780 |
1,723 |
$103K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,402 |
1,376 |
$92K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
833 |
808 |
$72K |
| 92015 |
Determination of refractive state |
2,527 |
2,414 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112 |
94 |
$4K |
| V2020 |
Frames, purchases |
326 |
216 |
$802.50 |
| 92370 |
|
14 |
14 |
$406.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
66 |
46 |
$60.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
18 |
12 |
$48.00 |