| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,698 |
1,612 |
$111K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
830 |
796 |
$63K |
| 92015 |
Determination of refractive state |
2,700 |
2,613 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,139 |
1,101 |
$21K |
| V2020 |
Frames, purchases |
153 |
145 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
160 |
146 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
282 |
273 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
92 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
14 |
$568.44 |