| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,738 |
3,730 |
$138K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,209 |
2,206 |
$89K |
| V2020 |
Frames, purchases |
3,856 |
3,843 |
$79K |
| 92342 |
|
1,527 |
1,520 |
$63K |
| 92015 |
Determination of refractive state |
5,978 |
5,963 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,870 |
1,866 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
598 |
598 |
$21K |
| 92341 |
|
233 |
233 |
$7K |
| 92225 |
|
71 |
70 |
$6K |
| 92134 |
|
97 |
85 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
26 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
15 |
$391.92 |