| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,582 |
2,163 |
$109K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,577 |
2,214 |
$75K |
| 92015 |
Determination of refractive state |
3,879 |
3,341 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
937 |
812 |
$43K |
| V2020 |
Frames, purchases |
646 |
587 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
709 |
590 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
676 |
567 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
72 |
50 |
$182.98 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$56.70 |