| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
761 |
688 |
$46K |
| 92015 |
Determination of refractive state |
1,682 |
1,444 |
$44K |
| V2020 |
Frames, purchases |
1,355 |
1,167 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
203 |
166 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
540 |
457 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
93 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
118 |
97 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
119 |
104 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
26 |
$445.43 |