| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,951 |
1,933 |
$132K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,452 |
1,435 |
$103K |
| 92015 |
Determination of refractive state |
3,514 |
3,459 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,154 |
1,149 |
$23K |
| V2020 |
Frames, purchases |
134 |
111 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
18 |
18 |
$787.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$679.26 |
| 92341 |
|
26 |
25 |
$589.66 |