| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,300 |
2,117 |
$105K |
| 92015 |
Determination of refractive state |
3,740 |
3,488 |
$68K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,359 |
1,286 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,294 |
1,239 |
$38K |
| 92341 |
|
206 |
176 |
$6K |
| V2020 |
Frames, purchases |
377 |
322 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
207 |
131 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
35 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
65 |
42 |
$234.33 |