| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,492 |
2,443 |
$155K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,653 |
2,502 |
$148K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,243 |
1,191 |
$104K |
| 92015 |
Determination of refractive state |
3,249 |
3,048 |
$27K |
| V2020 |
Frames, purchases |
124 |
118 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
53 |
$2K |
| 92370 |
|
55 |
55 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$308.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
14 |
14 |
$192.08 |
| 3072F |
|
73 |
71 |
$0.00 |