| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,800 |
2,611 |
$107K |
| 92015 |
Determination of refractive state |
3,481 |
3,293 |
$61K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,843 |
1,754 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
826 |
772 |
$37K |
| V2020 |
Frames, purchases |
265 |
255 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
169 |
159 |
$4K |
| 92341 |
|
122 |
118 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$605.26 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
46 |
45 |
$584.50 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
31 |
31 |
$165.00 |
| 3072F |
|
48 |
47 |
$0.00 |