| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,821 |
1,726 |
$85K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
718 |
688 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,095 |
2,910 |
$50K |
| 92015 |
Determination of refractive state |
2,577 |
2,435 |
$20K |
| V2499 |
Variable sphericity lens, other type |
67 |
67 |
$5K |
| V2020 |
Frames, purchases |
69 |
67 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
28 |
$727.98 |
| 92341 |
|
15 |
13 |
$234.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
50 |
49 |
$0.47 |