| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,689 |
1,687 |
$36K |
| V2020 |
Frames, purchases |
1,612 |
1,542 |
$20K |
| 92015 |
Determination of refractive state |
3,162 |
3,156 |
$13K |
| 92341 |
|
436 |
436 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
406 |
404 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
482 |
435 |
$7K |
| V2755 |
U-v lens, per lens |
371 |
368 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$427.50 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
66 |
66 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
51 |
51 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$0.00 |