| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,596 |
2,567 |
$160K |
| 92015 |
Determination of refractive state |
4,606 |
4,516 |
$22K |
| V2020 |
Frames, purchases |
625 |
599 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
195 |
193 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,024 |
1,018 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
69 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
31 |
26 |
$773.07 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
13 |
$296.50 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$170.54 |