| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
747 |
714 |
$28K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,006 |
489 |
$23K |
| V2020 |
Frames, purchases |
822 |
772 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
471 |
443 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
54 |
$2K |
| 92250 |
|
58 |
58 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
37 |
37 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$2K |
| 92015 |
Determination of refractive state |
13 |
13 |
$205.60 |