| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,136 |
2,093 |
$100K |
| 92015 |
Determination of refractive state |
3,375 |
3,301 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,250 |
1,222 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
392 |
392 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
396 |
394 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
600 |
596 |
$13K |
| 92341 |
|
71 |
69 |
$2K |
| V2020 |
Frames, purchases |
451 |
451 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
53 |
53 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
35 |
35 |
$416.00 |