| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,477 |
4,477 |
$433K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,086 |
3,084 |
$93K |
| 92015 |
Determination of refractive state |
4,944 |
4,943 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
741 |
741 |
$77K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,024 |
3,005 |
$73K |
| V2020 |
Frames, purchases |
4,501 |
4,478 |
$45K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
396 |
395 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
36 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
806 |
802 |
$0.00 |