| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,688 |
2,643 |
$93K |
| 92015 |
Determination of refractive state |
4,512 |
4,441 |
$82K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,186 |
1,165 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,763 |
1,737 |
$52K |
| V2020 |
Frames, purchases |
1,104 |
1,099 |
$40K |
| 92250 |
|
781 |
764 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
790 |
780 |
$11K |
| V2025 |
Deluxe frame |
163 |
163 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
125 |
$4K |
| 92341 |
|
63 |
63 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
678 |
668 |
$2K |
| 92083 |
|
14 |
14 |
$438.70 |
| 92133 |
|
12 |
12 |
$305.00 |