| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,931 |
7,905 |
$268K |
| V2020 |
Frames, purchases |
11,724 |
11,687 |
$185K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,963 |
4,946 |
$140K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,113 |
9,106 |
$105K |
| 92015 |
Determination of refractive state |
14,117 |
14,068 |
$63K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
418 |
411 |
$31K |
| 92250 |
|
724 |
722 |
$23K |
| 92341 |
|
1,331 |
1,325 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228 |
206 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$105.37 |