| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,150 |
3,105 |
$240K |
| 92060 |
|
4,996 |
4,935 |
$215K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,155 |
2,133 |
$205K |
| V2025 |
Deluxe frame |
4,399 |
4,366 |
$197K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,383 |
2,343 |
$98K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,531 |
3,449 |
$82K |
| 92015 |
Determination of refractive state |
5,422 |
5,351 |
$66K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,450 |
1,438 |
$61K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,645 |
1,621 |
$37K |
| V2020 |
Frames, purchases |
2,320 |
2,280 |
$36K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,240 |
1,213 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
18 |
$893.44 |