| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,325 |
1,279 |
$79K |
| 92015 |
Determination of refractive state |
1,991 |
1,917 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,033 |
1,014 |
$29K |
| V2020 |
Frames, purchases |
1,319 |
1,288 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
261 |
248 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,317 |
1,287 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
439 |
337 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
256 |
183 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$504.92 |