| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,109 |
4,109 |
$450K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,787 |
1,787 |
$233K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,943 |
6,928 |
$211K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,693 |
5,670 |
$159K |
| 92015 |
Determination of refractive state |
7,484 |
7,463 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
811 |
765 |
$87K |
| V2020 |
Frames, purchases |
6,949 |
6,934 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
214 |
214 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
736 |
733 |
$20K |
| 92250 |
|
122 |
122 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
62 |
62 |
$2K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
45 |
44 |
$1K |