| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
397 |
397 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
265 |
265 |
$17K |
| 92015 |
Determination of refractive state |
532 |
532 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
177 |
171 |
$9K |
| 92083 |
|
81 |
81 |
$3K |
| 92250 |
|
73 |
71 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
32 |
$2K |
| 92225 |
|
67 |
34 |
$2K |
| 92134 |
|
66 |
65 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
41 |
41 |
$760.00 |
| 92133 |
|
25 |
25 |
$728.67 |
| 92020 |
|
14 |
14 |
$241.89 |
| V2020 |
Frames, purchases |
48 |
47 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
33 |
16 |
$0.00 |