| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
311 |
304 |
$14K |
| 92015 |
Determination of refractive state |
559 |
551 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
199 |
198 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
352 |
344 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
71 |
$3K |
| V2020 |
Frames, purchases |
395 |
386 |
$10.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
436 |
428 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
247 |
241 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
18 |
18 |
$0.00 |