| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
687 |
596 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
448 |
401 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,036 |
939 |
$11K |
| V2020 |
Frames, purchases |
1,093 |
947 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
860 |
736 |
$6K |
| 92015 |
Determination of refractive state |
507 |
505 |
$5K |
| 92250 |
|
338 |
336 |
$2K |
| V2115 |
Lenticular, (myodisc), per lens, single vision |
13 |
13 |
$535.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
51 |
$351.79 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
70 |
59 |
$323.00 |
| 2023F |
|
968 |
843 |
$0.00 |