| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,450 |
1,361 |
$87K |
| 92015 |
Determination of refractive state |
3,219 |
3,013 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
398 |
386 |
$36K |
| V2020 |
Frames, purchases |
1,240 |
1,159 |
$28K |
| 92250 |
|
56 |
55 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
68 |
54 |
$1K |
| V2756 |
Eye glass case |
862 |
807 |
$759.44 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$43.23 |