| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,587 |
4,323 |
$237K |
| 92250 |
|
4,723 |
4,468 |
$208K |
| 92015 |
Determination of refractive state |
4,650 |
4,415 |
$135K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,981 |
2,876 |
$81K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,093 |
1,002 |
$76K |
| V2020 |
Frames, purchases |
3,349 |
3,196 |
$54K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,083 |
1,101 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
341 |
327 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
835 |
435 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
37 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
36 |
$1K |