| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
562 |
492 |
$37K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
66 |
52 |
$810.14 |
| V2020 |
Frames, purchases |
320 |
251 |
$682.93 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
110 |
93 |
$579.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$259.88 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
243 |
195 |
$216.54 |
| 92015 |
Determination of refractive state |
426 |
376 |
$27.18 |
| 92341 |
|
16 |
14 |
$0.00 |