| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,311 |
1,250 |
$54K |
| 92250 |
|
1,358 |
1,279 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,057 |
986 |
$49K |
| 92015 |
Determination of refractive state |
2,414 |
2,323 |
$41K |
| 92285 |
|
1,564 |
1,405 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
971 |
943 |
$27K |
| V2020 |
Frames, purchases |
136 |
134 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
153 |
148 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
72 |
71 |
$740.55 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$577.70 |
| 92083 |
|
13 |
12 |
$360.39 |