| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
924 |
814 |
$65K |
| 92015 |
Determination of refractive state |
942 |
786 |
$30K |
| V2020 |
Frames, purchases |
1,152 |
993 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
725 |
533 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
74 |
73 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
353 |
296 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
41 |
26 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$321.24 |