| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,337 |
2,273 |
$172K |
| 92015 |
Determination of refractive state |
4,084 |
3,975 |
$48K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,057 |
1,904 |
$44K |
| V2020 |
Frames, purchases |
1,285 |
1,145 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
228 |
225 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
236 |
223 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
418 |
367 |
$8K |
| 92341 |
|
74 |
73 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 92250 |
|
13 |
12 |
$256.72 |
| 4040F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
161 |
150 |
$0.00 |