| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,747 |
1,618 |
$105K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
410 |
391 |
$34K |
| V2020 |
Frames, purchases |
1,296 |
1,198 |
$32K |
| 92250 |
|
545 |
504 |
$24K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
545 |
276 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
95 |
$6K |
| V2756 |
Eye glass case |
1,103 |
1,021 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
77 |
46 |
$907.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$514.06 |
| 92370 |
|
17 |
16 |
$255.00 |