| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
813 |
739 |
$46K |
| 92015 |
Determination of refractive state |
1,273 |
1,182 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
566 |
511 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
94 |
86 |
$6K |
| V2020 |
Frames, purchases |
234 |
223 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
174 |
130 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
176 |
126 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
41 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
12 |
$581.91 |
| 2026F |
|
36 |
29 |
$0.00 |
| 2023F |
|
13 |
13 |
$0.00 |