| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,033 |
2,840 |
$185K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,226 |
2,090 |
$169K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,336 |
4,950 |
$85K |
| V2499 |
Variable sphericity lens, other type |
868 |
812 |
$56K |
| 92015 |
Determination of refractive state |
5,501 |
5,129 |
$43K |
| V2020 |
Frames, purchases |
1,791 |
1,692 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
403 |
357 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,761 |
1,564 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
508 |
482 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$963.90 |