| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,495 |
1,420 |
$72K |
| 92015 |
Determination of refractive state |
1,898 |
1,831 |
$56K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,503 |
1,414 |
$44K |
| 92250 |
|
521 |
509 |
$26K |
| V2020 |
Frames, purchases |
1,431 |
1,328 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
27 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
58 |
57 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$686.06 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16 |
16 |
$292.36 |