| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,221 |
2,869 |
$136K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,227 |
2,067 |
$101K |
| 92015 |
Determination of refractive state |
5,356 |
4,935 |
$91K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,043 |
1,794 |
$56K |
| 92341 |
|
332 |
315 |
$9K |
| V2020 |
Frames, purchases |
107 |
107 |
$2K |
| 92285 |
|
140 |
138 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75 |
50 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
81 |
46 |
$1K |
| 68761 |
|
21 |
12 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
29 |
29 |
$220.00 |