| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
650 |
631 |
$33K |
| V2020 |
Frames, purchases |
467 |
444 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
242 |
202 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
151 |
$6K |
| 92015 |
Determination of refractive state |
713 |
694 |
$6K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
30 |
26 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
57 |
53 |
$1K |
| 92134 |
|
65 |
65 |
$790.91 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
71 |
70 |
$414.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$391.44 |