| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
379 |
344 |
$36K |
| 92015 |
Determination of refractive state |
789 |
739 |
$27K |
| V2020 |
Frames, purchases |
774 |
710 |
$24K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
624 |
572 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
664 |
613 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
34 |
32 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
49 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
39 |
39 |
$3K |
| 83861 |
|
131 |
70 |
$3K |