| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
202 |
196 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
141 |
133 |
$12K |
| 92015 |
Determination of refractive state |
845 |
821 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
315 |
309 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
128 |
$8K |
| V2020 |
Frames, purchases |
490 |
374 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
274 |
246 |
$6K |
| 92250 |
|
121 |
119 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
214 |
166 |
$1K |
| V2760 |
Scratch resistant coating, per lens |
229 |
225 |
$316.70 |