| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,238 |
6,216 |
$426K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,302 |
5,269 |
$415K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,241 |
10,189 |
$176K |
| 92015 |
Determination of refractive state |
12,702 |
12,629 |
$165K |
| V2020 |
Frames, purchases |
2,859 |
2,835 |
$143K |
| V2199 |
Not otherwise classified, single vision lens |
2,291 |
2,272 |
$92K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,855 |
2,837 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
30 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
97 |
97 |
$995.50 |
| 92250 |
|
29 |
28 |
$750.98 |