| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,122 |
3,700 |
$213K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,902 |
2,515 |
$185K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,176 |
3,824 |
$180K |
| 92015 |
Determination of refractive state |
5,164 |
4,808 |
$144K |
| 92250 |
|
3,672 |
3,276 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
48 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
29 |
28 |
$745.50 |
| 92370 |
|
13 |
13 |
$448.63 |
| V2020 |
Frames, purchases |
27 |
27 |
$260.00 |