| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,624 |
7,614 |
$532K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,266 |
4,262 |
$339K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,903 |
8,889 |
$160K |
| 92015 |
Determination of refractive state |
11,803 |
11,792 |
$150K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
905 |
795 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
747 |
634 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
133 |
121 |
$6K |
| V2020 |
Frames, purchases |
107 |
107 |
$4K |
| 92083 |
|
12 |
12 |
$585.64 |