| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,451 |
1,098 |
$71K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
487 |
217 |
$0.00 |
| 92015 |
Determination of refractive state |
1,338 |
633 |
$0.00 |
| 1159F |
|
123 |
70 |
$0.00 |
| V2020 |
Frames, purchases |
255 |
149 |
$0.00 |
| 1160F |
|
123 |
70 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
443 |
210 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
108 |
64 |
$0.00 |
| 92002 |
|
25 |
13 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
20 |
15 |
$0.00 |
| 00000 |
|
171 |
108 |
$0.00 |