| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,985 |
1,870 |
$118K |
| 92015 |
Determination of refractive state |
2,588 |
2,491 |
$103K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,713 |
1,676 |
$49K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,454 |
730 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
244 |
231 |
$18K |
| V2020 |
Frames, purchases |
1,223 |
1,156 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
194 |
109 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
25 |
$455.63 |
| 3072F |
|
28 |
28 |
$0.00 |