| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,725 |
1,607 |
$64K |
| 92015 |
Determination of refractive state |
3,902 |
3,577 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,175 |
1,092 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,810 |
1,696 |
$35K |
| 92341 |
|
140 |
126 |
$3K |
| V2020 |
Frames, purchases |
142 |
133 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
102 |
92 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
48 |
43 |
$533.00 |