| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
481 |
401 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
854 |
736 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
194 |
173 |
$15K |
| V2020 |
Frames, purchases |
666 |
574 |
$15K |
| 92015 |
Determination of refractive state |
1,105 |
930 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
271 |
243 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$2K |
| 92002 |
|
31 |
18 |
$345.85 |