| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,203 |
1,191 |
$69K |
| 92250 |
|
703 |
697 |
$35K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,612 |
1,588 |
$33K |
| 92283 |
|
1,478 |
1,468 |
$32K |
| V2020 |
Frames, purchases |
1,765 |
1,736 |
$29K |
| 92225 |
|
701 |
685 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
210 |
209 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
84 |
82 |
$2K |
| 92201 |
|
119 |
119 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
14 |
$432.00 |
| 2022F |
|
13 |
13 |
$0.00 |