| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
699 |
683 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
567 |
556 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
133 |
133 |
$9K |
| 92015 |
Determination of refractive state |
996 |
974 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
33 |
$2K |
| V2020 |
Frames, purchases |
87 |
84 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
45 |
43 |
$1K |
| 92250 |
|
53 |
53 |
$934.47 |