| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,152 |
1,094 |
$70K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
437 |
399 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,313 |
1,252 |
$22K |
| 92015 |
Determination of refractive state |
2,357 |
2,238 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
153 |
74 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
58 |
$1K |
| V2755 |
U-v lens, per lens |
180 |
89 |
$1K |
| V2020 |
Frames, purchases |
77 |
75 |
$1K |