| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,510 |
2,411 |
$158K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,173 |
1,120 |
$105K |
| 92015 |
Determination of refractive state |
4,084 |
3,928 |
$58K |
| V2020 |
Frames, purchases |
2,130 |
2,009 |
$52K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
723 |
675 |
$15K |
| 92250 |
|
321 |
290 |
$13K |
| V2756 |
Eye glass case |
1,990 |
1,880 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
51 |
49 |
$740.08 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$600.56 |