| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,039 |
5,836 |
$365K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,055 |
3,884 |
$341K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,718 |
4,540 |
$303K |
| 92015 |
Determination of refractive state |
6,836 |
6,492 |
$22K |
| V2020 |
Frames, purchases |
1,053 |
772 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
518 |
368 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
151 |
107 |
$1K |
| 92341 |
|
12 |
12 |
$674.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$310.80 |