| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,791 |
1,733 |
$92K |
| 92015 |
Determination of refractive state |
2,122 |
2,045 |
$65K |
| 92250 |
|
2,716 |
2,640 |
$65K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,627 |
1,544 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
454 |
429 |
$33K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
408 |
390 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,089 |
1,517 |
$21K |
| V2020 |
Frames, purchases |
1,789 |
1,675 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
72 |
64 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
24 |
$385.31 |