| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
741 |
687 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
188 |
181 |
$17K |
| 92015 |
Determination of refractive state |
1,144 |
1,071 |
$14K |
| V2020 |
Frames, purchases |
488 |
448 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
106 |
103 |
$2K |
| 92250 |
|
73 |
65 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
26 |
$1K |
| V2756 |
Eye glass case |
383 |
361 |
$374.76 |
| 92370 |
|
16 |
16 |
$240.00 |