| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,405 |
1,265 |
$89K |
| 92015 |
Determination of refractive state |
2,550 |
2,265 |
$68K |
| 92065 |
|
1,915 |
540 |
$66K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,101 |
1,022 |
$44K |
| 92250 |
|
960 |
845 |
$30K |
| V2020 |
Frames, purchases |
1,128 |
1,040 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,217 |
1,035 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
322 |
270 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
496 |
458 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
53 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
51 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
24 |
$1K |
| 92060 |
|
28 |
25 |
$1K |