| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
857 |
843 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
451 |
446 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,256 |
1,233 |
$38K |
| V2020 |
Frames, purchases |
1,969 |
1,671 |
$37K |
| 92015 |
Determination of refractive state |
2,204 |
2,145 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
956 |
905 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
138 |
$8K |
| 92250 |
|
170 |
164 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
923 |
796 |
$6K |
| V2760 |
Scratch resistant coating, per lens |
468 |
453 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$596.82 |
| 92226 |
|
27 |
16 |
$579.14 |
| 2023F |
|
17 |
17 |
$0.00 |