| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,596 |
3,071 |
$227K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,039 |
881 |
$88K |
| 92015 |
Determination of refractive state |
4,190 |
3,553 |
$79K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,669 |
1,904 |
$63K |
| V2020 |
Frames, purchases |
2,709 |
2,171 |
$63K |
| 92250 |
|
2,857 |
2,397 |
$55K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,046 |
2,574 |
$49K |
| 83861 |
|
498 |
238 |
$11K |
| 92020 |
|
472 |
419 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$2K |
| 92083 |
|
61 |
55 |
$2K |
| 2023F |
|
13 |
13 |
$0.00 |
| 3072F |
|
12 |
12 |
$0.00 |