| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,079 |
2,437 |
$105K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
294 |
225 |
$16K |
| 92015 |
Determination of refractive state |
1,308 |
985 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
381 |
247 |
$6K |
| V2020 |
Frames, purchases |
394 |
344 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
131 |
119 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
235 |
169 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
19 |
$148.26 |