| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,101 |
3,101 |
$328K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,796 |
1,796 |
$229K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,014 |
3,004 |
$90K |
| 92015 |
Determination of refractive state |
3,808 |
3,808 |
$65K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,045 |
2,037 |
$57K |
| V2020 |
Frames, purchases |
2,958 |
2,950 |
$30K |
| 92250 |
|
310 |
310 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
299 |
297 |
$8K |
| 99310 |
Prolong nursin fac eval 15m |
148 |
148 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
25 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,953 |
2,941 |
$0.00 |