| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,842 |
1,684 |
$83K |
| 92015 |
Determination of refractive state |
2,865 |
2,592 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,101 |
957 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
993 |
973 |
$29K |
| V2020 |
Frames, purchases |
268 |
268 |
$6K |
| 92250 |
|
164 |
136 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
107 |
107 |
$4K |
| 92341 |
|
55 |
51 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
37 |
$964.81 |
| 92285 |
|
34 |
32 |
$921.20 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
101 |
101 |
$749.78 |
| 3072F |
|
216 |
216 |
$0.00 |