| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,187 |
2,056 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,507 |
1,404 |
$61K |
| 92015 |
Determination of refractive state |
2,868 |
2,727 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
463 |
442 |
$20K |
| 92250 |
|
321 |
294 |
$12K |
| V2020 |
Frames, purchases |
94 |
93 |
$4K |
| 92083 |
|
130 |
124 |
$3K |
| V2025 |
Deluxe frame |
107 |
99 |
$1K |
| 92145 |
|
192 |
166 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$671.53 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
25 |
$261.58 |
| 3072F |
|
26 |
25 |
$0.00 |