| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
396 |
314 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
437 |
364 |
$20K |
| V2020 |
Frames, purchases |
486 |
443 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
349 |
329 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
176 |
153 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
24 |
$930.28 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
77 |
64 |
$766.32 |
| V2799 |
Vision item or service, miscellaneous |
21 |
20 |
$215.02 |
| 92015 |
Determination of refractive state |
1,536 |
1,271 |
$0.00 |