| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,254 |
6,254 |
$614K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,311 |
1,311 |
$157K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,768 |
4,768 |
$142K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,039 |
5,037 |
$139K |
| 92015 |
Determination of refractive state |
6,890 |
6,890 |
$122K |
| V2020 |
Frames, purchases |
5,049 |
5,047 |
$50K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
37 |
37 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$468.39 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,990 |
4,988 |
$0.00 |