| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,752 |
1,568 |
$137K |
| 92015 |
Determination of refractive state |
2,988 |
2,724 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
425 |
409 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,901 |
1,715 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
933 |
857 |
$36K |
| V2020 |
Frames, purchases |
649 |
474 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
289 |
184 |
$5K |
| 92250 |
|
12 |
12 |
$256.76 |