| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
934 |
920 |
$42K |
| 92015 |
Determination of refractive state |
1,604 |
1,579 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
506 |
498 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
850 |
816 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81 |
75 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
39 |
$3K |
| 92341 |
|
12 |
12 |
$323.64 |
| V2020 |
Frames, purchases |
965 |
930 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
154 |
147 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
982 |
947 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
502 |
486 |
$0.00 |