| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,154 |
1,047 |
$88K |
| 92250 |
|
1,274 |
1,149 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
262 |
251 |
$28K |
| V2020 |
Frames, purchases |
875 |
823 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
756 |
704 |
$27K |
| 92015 |
Determination of refractive state |
1,373 |
1,262 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
783 |
699 |
$16K |
| 83861 |
|
32 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$723.70 |
| 92020 |
|
56 |
44 |
$604.36 |
| 2023F |
|
22 |
19 |
$0.00 |