| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
301 |
275 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
366 |
359 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
65 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
56 |
54 |
$2K |
| V2020 |
Frames, purchases |
69 |
68 |
$844.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
27 |
27 |
$622.00 |
| 92083 |
|
12 |
12 |
$188.65 |
| 92015 |
Determination of refractive state |
45 |
43 |
$0.00 |