| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
823 |
801 |
$58K |
| V2020 |
Frames, purchases |
958 |
901 |
$28K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
768 |
714 |
$18K |
| 92015 |
Determination of refractive state |
1,489 |
1,442 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
174 |
162 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
230 |
217 |
$3K |
| 92370 |
|
115 |
107 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$909.61 |