| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,211 |
4,054 |
$301K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,549 |
3,249 |
$70K |
| 92015 |
Determination of refractive state |
6,015 |
5,712 |
$66K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
766 |
726 |
$65K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,117 |
701 |
$49K |
| V2020 |
Frames, purchases |
1,634 |
1,331 |
$46K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,050 |
448 |
$28K |
| 92341 |
|
538 |
505 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$818.44 |
| 92134 |
|
15 |
13 |
$259.03 |