| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,411 |
1,279 |
$65K |
| 92015 |
Determination of refractive state |
2,225 |
2,026 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
495 |
457 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,006 |
984 |
$30K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
738 |
384 |
$22K |
| V2020 |
Frames, purchases |
606 |
586 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
703 |
355 |
$7K |
| 92250 |
|
48 |
41 |
$535.97 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$378.77 |
| 2033F |
|
135 |
134 |
$0.00 |