| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,169 |
1,157 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,282 |
1,125 |
$20K |
| 92015 |
Determination of refractive state |
2,024 |
1,999 |
$11K |
| V2020 |
Frames, purchases |
623 |
622 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
208 |
207 |
$6K |
| 92250 |
|
137 |
135 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
389 |
388 |
$2K |
| 92134 |
|
42 |
39 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
28 |
$878.40 |
| 92341 |
|
12 |
12 |
$110.18 |