| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,046 |
1,042 |
$46K |
| 92015 |
Determination of refractive state |
1,729 |
1,723 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
578 |
578 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
580 |
580 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
770 |
766 |
$22K |
| V2020 |
Frames, purchases |
318 |
318 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
195 |
183 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
164 |
164 |
$2K |
| V2025 |
Deluxe frame |
123 |
123 |
$1K |
| 92310 |
|
12 |
12 |
$786.70 |
| 3072F |
|
88 |
86 |
$0.00 |