| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
855 |
794 |
$69K |
| 92015 |
Determination of refractive state |
1,591 |
1,468 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,309 |
1,288 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
110 |
105 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
48 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$984.96 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,314 |
1,283 |
$95.00 |
| V2020 |
Frames, purchases |
1,256 |
1,230 |
$15.87 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
484 |
476 |
$0.00 |