| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,528 |
8,354 |
$150K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
560 |
553 |
$37K |
| 92015 |
Determination of refractive state |
1,508 |
1,486 |
$15K |
| 92310 |
|
142 |
136 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
40 |
39 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
34 |
34 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$586.32 |
| V2750 |
Anti-reflective coating, per lens |
48 |
48 |
$516.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$26.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,987 |
1,949 |
$0.00 |