| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,295 |
2,176 |
$98K |
| 92015 |
Determination of refractive state |
2,986 |
2,834 |
$64K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
364 |
350 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
936 |
905 |
$19K |
| V2020 |
Frames, purchases |
2,314 |
2,195 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
880 |
848 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
255 |
244 |
$3K |
| 92250 |
|
75 |
69 |
$969.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
52 |
$822.77 |