| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
746 |
668 |
$55K |
| 92015 |
Determination of refractive state |
1,147 |
1,051 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
302 |
290 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
34 |
34 |
$4K |
| V2020 |
Frames, purchases |
174 |
166 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
52 |
52 |
$2K |
| 92250 |
|
33 |
25 |
$407.25 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$264.60 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
109 |
97 |
$0.00 |
| 2024F |
|
87 |
87 |
$0.00 |
| 2026F |
|
61 |
60 |
$0.00 |