| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,168 |
2,124 |
$246K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,405 |
1,372 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,056 |
881 |
$57K |
| V2020 |
Frames, purchases |
1,241 |
1,220 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
692 |
685 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
343 |
341 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
436 |
431 |
$8K |
| 92015 |
Determination of refractive state |
1,382 |
1,314 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
227 |
223 |
$6K |
| 92083 |
|
14 |
13 |
$645.12 |