| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,574 |
4,300 |
$278K |
| V2020 |
Frames, purchases |
3,511 |
3,221 |
$85K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
880 |
835 |
$78K |
| 92015 |
Determination of refractive state |
3,278 |
3,141 |
$45K |
| 92250 |
|
838 |
764 |
$35K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,000 |
656 |
$15K |
| V2756 |
Eye glass case |
3,084 |
2,823 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
212 |
121 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
37 |
$2K |
| 92370 |
|
62 |
59 |
$885.00 |