| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
755 |
734 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
635 |
600 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
837 |
794 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
69 |
69 |
$2K |
| 92341 |
|
63 |
59 |
$1K |
| V2020 |
Frames, purchases |
99 |
97 |
$987.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
14 |
$872.20 |
| 92015 |
Determination of refractive state |
469 |
469 |
$644.90 |