| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
622 |
616 |
$52K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
612 |
610 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
601 |
593 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
222 |
192 |
$12K |
| V2020 |
Frames, purchases |
655 |
649 |
$12K |
| 92015 |
Determination of refractive state |
1,113 |
1,102 |
$7K |
| 92250 |
|
60 |
60 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
195 |
195 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
174 |
171 |
$2K |
| 83861 |
|
90 |
43 |
$2K |