| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,279 |
1,253 |
$48K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,979 |
1,937 |
$42K |
| V2020 |
Frames, purchases |
2,727 |
2,680 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
643 |
637 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,421 |
1,393 |
$13K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
293 |
293 |
$11K |
| 92015 |
Determination of refractive state |
2,451 |
2,403 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
41 |
$3K |
| 92310 |
|
27 |
27 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
87 |
84 |
$2K |
| 92250 |
|
64 |
61 |
$2K |