| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,085 |
1,982 |
$92K |
| 92015 |
Determination of refractive state |
3,422 |
3,293 |
$60K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,679 |
1,613 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
391 |
370 |
$18K |
| V2020 |
Frames, purchases |
62 |
62 |
$1K |
| V2025 |
Deluxe frame |
20 |
12 |
$978.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
14 |
$357.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$316.50 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
20 |
12 |
$100.00 |