| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,114 |
1,102 |
$43K |
| 92015 |
Determination of refractive state |
2,969 |
2,909 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,228 |
1,215 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
339 |
332 |
$14K |
| V2020 |
Frames, purchases |
437 |
426 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
413 |
400 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$555.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$505.88 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
38 |
37 |
$497.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
31 |
31 |
$476.68 |
| 1036F |
|
55 |
54 |
$0.00 |