| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,372 |
1,339 |
$80K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,966 |
1,896 |
$58K |
| 92015 |
Determination of refractive state |
2,196 |
2,107 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
300 |
290 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
975 |
936 |
$20K |
| V2020 |
Frames, purchases |
1,110 |
1,034 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
120 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$401.66 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
14 |
13 |
$0.00 |