| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,964 |
3,701 |
$250K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,512 |
2,389 |
$180K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,124 |
811 |
$50K |
| V2020 |
Frames, purchases |
3,008 |
2,801 |
$21K |
| 92015 |
Determination of refractive state |
6,768 |
6,365 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,051 |
1,904 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,786 |
2,601 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,659 |
2,483 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
125 |
$7K |
| 92250 |
|
464 |
356 |
$2K |
| V2755 |
U-v lens, per lens |
2,784 |
2,600 |
$127.40 |