| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,768 |
2,529 |
$124K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,794 |
1,648 |
$83K |
| 92015 |
Determination of refractive state |
4,776 |
4,399 |
$79K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,318 |
2,085 |
$69K |
| V2020 |
Frames, purchases |
1,295 |
1,266 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
988 |
966 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
902 |
883 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
185 |
184 |
$2K |
| 92341 |
|
53 |
52 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$283.50 |