| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,021 |
999 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,248 |
1,224 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
275 |
271 |
$21K |
| 92015 |
Determination of refractive state |
1,866 |
1,810 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
527 |
516 |
$12K |
| V2020 |
Frames, purchases |
670 |
654 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
41 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
13 |
$435.62 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
15 |
14 |
$29.52 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
14 |
14 |
$0.00 |