| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
668 |
587 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
332 |
287 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
614 |
526 |
$15K |
| V2020 |
Frames, purchases |
468 |
385 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
237 |
175 |
$4K |
| 92015 |
Determination of refractive state |
234 |
196 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
114 |
89 |
$927.04 |
| 92133 |
|
64 |
62 |
$556.28 |
| 92083 |
|
12 |
12 |
$188.96 |