| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
56 |
55 |
$5K |
| V2020 |
Frames, purchases |
114 |
106 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
56 |
47 |
$3K |
| 92015 |
Determination of refractive state |
88 |
87 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
35 |
29 |
$723.00 |
| 2023F |
|
17 |
17 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
28 |
28 |
$0.00 |
| 2026F |
|
24 |
24 |
$0.00 |