| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
640 |
601 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
947 |
898 |
$38K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,112 |
1,051 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
295 |
268 |
$31K |
| V2020 |
Frames, purchases |
1,185 |
1,119 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
495 |
459 |
$10K |
| 92015 |
Determination of refractive state |
326 |
306 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
12 |
$450.70 |