| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,447 |
2,447 |
$267K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,270 |
1,270 |
$165K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,054 |
3,050 |
$92K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,179 |
3,172 |
$88K |
| 92015 |
Determination of refractive state |
3,971 |
3,968 |
$70K |
| V2020 |
Frames, purchases |
3,089 |
3,086 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,126 |
3,122 |
$0.00 |