| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,752 |
1,650 |
$70K |
| 92015 |
Determination of refractive state |
1,387 |
1,302 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,286 |
721 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,636 |
1,506 |
$27K |
| V2020 |
Frames, purchases |
1,756 |
1,622 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
940 |
813 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
156 |
143 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
64 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
88 |
40 |
$2K |
| 92370 |
|
92 |
77 |
$740.00 |