| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,710 |
3,547 |
$181K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,337 |
1,281 |
$49K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,416 |
1,370 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
731 |
569 |
$22K |
| V2020 |
Frames, purchases |
1,391 |
1,343 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
713 |
707 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
249 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
164 |
$7K |
| 92250 |
|
17 |
14 |
$520.18 |
| 92285 |
|
136 |
98 |
$501.42 |
| 92083 |
|
20 |
13 |
$400.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
201 |
192 |
$0.00 |