| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,431 |
1,424 |
$156K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
949 |
940 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,253 |
1,178 |
$121K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,354 |
2,305 |
$71K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,661 |
1,644 |
$41K |
| 92015 |
Determination of refractive state |
2,109 |
2,062 |
$38K |
| V2020 |
Frames, purchases |
2,370 |
2,328 |
$24K |
| 92273 |
|
77 |
77 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
273 |
268 |
$7K |
| 92083 |
|
126 |
126 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
225 |
224 |
$5K |
| 92250 |
|
111 |
111 |
$3K |
| 92134 |
|
52 |
51 |
$1K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
61 |
61 |
$1K |
| 92133 |
|
32 |
32 |
$937.81 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,308 |
2,267 |
$0.00 |