| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
736 |
602 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
134 |
107 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
37 |
32 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
83 |
70 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
12 |
$330.70 |
| V2020 |
Frames, purchases |
216 |
151 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
35 |
25 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
225 |
165 |
$0.00 |