| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,403 |
1,386 |
$70K |
| 92015 |
Determination of refractive state |
2,085 |
2,057 |
$55K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
881 |
868 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
412 |
410 |
$28K |
| 92134 |
|
194 |
96 |
$10K |
| 92370 |
|
268 |
261 |
$8K |
| 92065 |
|
198 |
140 |
$7K |
| 92083 |
|
101 |
100 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
52 |
$3K |
| 92020 |
|
99 |
74 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
47 |
47 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
78 |
76 |
$2K |
| V2020 |
Frames, purchases |
60 |
60 |
$2K |
| 92250 |
|
30 |
29 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
60 |
60 |
$360.00 |
| 76514 |
|
30 |
30 |
$341.04 |
| 99072 |
|
99 |
99 |
$0.00 |