| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,367 |
1,247 |
$36K |
| 92015 |
Determination of refractive state |
1,927 |
1,786 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,166 |
1,082 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
203 |
199 |
$8K |
| V2020 |
Frames, purchases |
68 |
68 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101 |
95 |
$944.14 |
| 92250 |
|
50 |
47 |
$794.79 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
13 |
$410.00 |