| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,016 |
2,016 |
$214K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,620 |
2,607 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
512 |
512 |
$64K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,971 |
1,957 |
$52K |
| 92015 |
Determination of refractive state |
2,712 |
2,707 |
$48K |
| V2020 |
Frames, purchases |
2,654 |
2,643 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
235 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
542 |
542 |
$13K |
| 92250 |
|
150 |
150 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,680 |
2,666 |
$0.00 |