| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,348 |
1,290 |
$99K |
| 92015 |
Determination of refractive state |
2,451 |
2,359 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
544 |
517 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
108 |
54 |
$5K |
| V2020 |
Frames, purchases |
77 |
76 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
75 |
40 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$796.12 |
| 92250 |
|
13 |
13 |
$266.15 |