| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
130 |
127 |
$6K |
| V2020 |
Frames, purchases |
90 |
85 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
84 |
79 |
$2K |
| 92015 |
Determination of refractive state |
140 |
130 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
56 |
52 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$147.09 |