| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
632 |
627 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
367 |
360 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
616 |
606 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
330 |
328 |
$8K |
| V2020 |
Frames, purchases |
444 |
441 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
93 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
151 |
151 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
167 |
164 |
$2K |
| 92341 |
|
12 |
12 |
$322.64 |
| 92015 |
Determination of refractive state |
470 |
467 |
$83.32 |
| 3072F |
|
32 |
32 |
$0.00 |