| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,396 |
1,376 |
$56K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,625 |
1,604 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
574 |
568 |
$25K |
| V2020 |
Frames, purchases |
758 |
750 |
$9K |
| 92341 |
|
290 |
289 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
117 |
$6K |
| 92015 |
Determination of refractive state |
199 |
193 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
85 |
85 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
73 |
73 |
$730.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
15 |
$203.00 |
| 2023F |
|
13 |
13 |
$0.00 |