| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
625 |
596 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,839 |
1,639 |
$30K |
| 92015 |
Determination of refractive state |
1,739 |
1,647 |
$14K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
405 |
324 |
$9K |
| V2020 |
Frames, purchases |
436 |
344 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
380 |
293 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
67 |
64 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
44 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
426 |
334 |
$451.34 |