| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,799 |
2,529 |
$153K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
786 |
718 |
$65K |
| 92015 |
Determination of refractive state |
2,778 |
2,523 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,170 |
1,842 |
$41K |
| V2020 |
Frames, purchases |
468 |
444 |
$14K |
| 92250 |
|
678 |
600 |
$6K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
60 |
55 |
$4K |
| 92083 |
|
167 |
160 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
40 |
34 |
$818.58 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$203.16 |