| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,269 |
6,235 |
$437K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,682 |
4,631 |
$400K |
| 92015 |
Determination of refractive state |
11,521 |
11,388 |
$196K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,363 |
11,257 |
$187K |
| V2020 |
Frames, purchases |
633 |
616 |
$32K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
756 |
736 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
379 |
369 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
14 |
$618.72 |