| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,516 |
2,516 |
$268K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,133 |
1,133 |
$146K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,549 |
3,545 |
$108K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,744 |
3,712 |
$104K |
| 92015 |
Determination of refractive state |
3,758 |
3,756 |
$67K |
| V2020 |
Frames, purchases |
3,585 |
3,580 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
51 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$4K |
| 92250 |
|
87 |
87 |
$3K |