| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
492 |
473 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
300 |
292 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
207 |
205 |
$14K |
| 92015 |
Determination of refractive state |
1,288 |
1,213 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$439.50 |
| V2020 |
Frames, purchases |
61 |
43 |
$55.70 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
64 |
32 |
$8.20 |