| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,314 |
3,076 |
$199K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,592 |
1,453 |
$124K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,210 |
4,889 |
$86K |
| 92015 |
Determination of refractive state |
5,743 |
5,369 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82 |
68 |
$3K |
| V2020 |
Frames, purchases |
20 |
12 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
28 |
28 |
$722.00 |
| 92341 |
|
12 |
12 |
$180.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
17 |
12 |
$0.00 |