| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,821 |
3,645 |
$228K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,617 |
1,573 |
$131K |
| 92015 |
Determination of refractive state |
5,213 |
5,027 |
$72K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,914 |
3,854 |
$72K |
| V2020 |
Frames, purchases |
496 |
479 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
490 |
455 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
472 |
455 |
$18K |
| V2025 |
Deluxe frame |
96 |
93 |
$1K |
| 92250 |
|
26 |
24 |
$506.00 |
| 92083 |
|
14 |
13 |
$469.52 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
17 |
16 |
$333.50 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
20 |
13 |
$0.00 |
| 3072F |
|
12 |
12 |
$0.00 |
| 1036F |
|
20 |
13 |
$0.00 |