| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,909 |
1,771 |
$76K |
| 92015 |
Determination of refractive state |
2,224 |
2,117 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
647 |
606 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,474 |
1,434 |
$43K |
| V2020 |
Frames, purchases |
1,551 |
1,440 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
700 |
378 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
280 |
171 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
148 |
128 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
56 |
$589.74 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
142 |
125 |
$0.00 |