| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,639 |
1,582 |
$99K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
615 |
597 |
$52K |
| V2020 |
Frames, purchases |
1,782 |
1,695 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
176 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
287 |
267 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
147 |
143 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
29 |
$1K |
| 92015 |
Determination of refractive state |
28 |
26 |
$0.00 |