| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
526 |
517 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
181 |
181 |
$11K |
| 92015 |
Determination of refractive state |
1,432 |
1,388 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$279.71 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
26 |
13 |
$0.00 |
| V2020 |
Frames, purchases |
28 |
27 |
$0.00 |