| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,476 |
2,433 |
$93K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,272 |
2,226 |
$46K |
| 92015 |
Determination of refractive state |
4,895 |
4,713 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
826 |
810 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
275 |
$17K |
| 92341 |
|
369 |
355 |
$9K |
| V2020 |
Frames, purchases |
62 |
62 |
$830.01 |
| 92250 |
|
27 |
27 |
$611.47 |
| 92083 |
|
13 |
13 |
$400.08 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$48.00 |
| 3072F |
|
522 |
517 |
$0.00 |
| 99072 |
|
16 |
13 |
$0.00 |