| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,148 |
1,073 |
$79K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,026 |
960 |
$55K |
| 92015 |
Determination of refractive state |
2,194 |
2,075 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,472 |
1,410 |
$41K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,000 |
942 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
847 |
804 |
$17K |
| V2020 |
Frames, purchases |
1,087 |
1,026 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$271.20 |