| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,457 |
1,303 |
$110K |
| 92015 |
Determination of refractive state |
2,375 |
2,080 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
275 |
247 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
221 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
175 |
158 |
$19K |
| V2020 |
Frames, purchases |
363 |
360 |
$15K |
| 92250 |
|
181 |
151 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
74 |
74 |
$4K |
| 92133 |
|
31 |
24 |
$688.22 |
| 92083 |
|
12 |
12 |
$459.38 |