| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,748 |
1,747 |
$181K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,056 |
1,056 |
$132K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,304 |
2,248 |
$70K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,711 |
1,669 |
$45K |
| 92015 |
Determination of refractive state |
2,491 |
2,478 |
$44K |
| V2020 |
Frames, purchases |
2,307 |
2,265 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
161 |
160 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
267 |
260 |
$7K |
| 92250 |
|
124 |
124 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,726 |
1,676 |
$0.00 |