| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,160 |
2,116 |
$121K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
462 |
458 |
$37K |
| 92015 |
Determination of refractive state |
3,184 |
3,135 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,133 |
1,094 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
269 |
255 |
$7K |
| 92250 |
|
299 |
298 |
$5K |
| V2020 |
Frames, purchases |
204 |
204 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
94 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
49 |
24 |
$611.00 |