| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,611 |
1,534 |
$92K |
| 92015 |
Determination of refractive state |
2,634 |
2,524 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
380 |
354 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
137 |
131 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
916 |
866 |
$9K |
| V2020 |
Frames, purchases |
327 |
323 |
$7K |
| 92002 |
|
16 |
16 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$984.47 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
31 |
27 |
$455.84 |
| 92083 |
|
40 |
38 |
$361.14 |
| 2023F |
|
216 |
216 |
$0.00 |
| 92133 |
|
15 |
13 |
$0.00 |