| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,362 |
3,910 |
$305K |
| 92015 |
Determination of refractive state |
5,381 |
4,790 |
$96K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,663 |
3,248 |
$69K |
| V2020 |
Frames, purchases |
925 |
715 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
171 |
143 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
371 |
241 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$292.14 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
55 |
30 |
$19.49 |
| V2702 |
Deluxe lens feature |
16 |
16 |
$0.00 |