| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,210 |
2,051 |
$95K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,657 |
1,513 |
$75K |
| 92015 |
Determination of refractive state |
3,602 |
3,323 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,047 |
996 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
192 |
165 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
140 |
139 |
$6K |
| V2020 |
Frames, purchases |
139 |
139 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
84 |
84 |
$861.65 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$741.73 |
| V2025 |
Deluxe frame |
45 |
45 |
$486.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
27 |
27 |
$347.22 |