| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,849 |
1,656 |
$151K |
| 92250 |
|
2,548 |
2,348 |
$68K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,780 |
1,592 |
$59K |
| V2020 |
Frames, purchases |
2,111 |
1,858 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
511 |
486 |
$55K |
| 92015 |
Determination of refractive state |
2,668 |
2,392 |
$50K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,342 |
2,105 |
$46K |
| 92020 |
|
985 |
913 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
82 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
42 |
42 |
$166.06 |