| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,477 |
1,377 |
$88K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
681 |
650 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
408 |
356 |
$31K |
| V2020 |
Frames, purchases |
434 |
401 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
186 |
169 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
389 |
377 |
$5K |
| 92015 |
Determination of refractive state |
164 |
116 |
$707.70 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$596.82 |