| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
549 |
519 |
$30K |
| 92015 |
Determination of refractive state |
843 |
806 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
289 |
283 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
32 |
30 |
$3K |
| V2020 |
Frames, purchases |
114 |
106 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
84 |
44 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$347.83 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
20 |
13 |
$198.74 |