| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92273 |
|
756 |
742 |
$49K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
415 |
387 |
$28K |
| 92083 |
|
550 |
513 |
$17K |
| 92283 |
|
521 |
507 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
141 |
134 |
$11K |
| 95930 |
|
314 |
305 |
$10K |
| 92275 |
|
70 |
69 |
$6K |
| 92133 |
|
299 |
287 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
41 |
$3K |
| 92250 |
|
56 |
55 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
18 |
15 |
$736.95 |
| 92226 |
|
42 |
24 |
$621.96 |
| 92202 |
|
52 |
48 |
$402.02 |
| 92015 |
Determination of refractive state |
43 |
41 |
$305.83 |
| 92201 |
|
13 |
13 |
$142.60 |
| V2020 |
Frames, purchases |
12 |
12 |
$31.90 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$7.28 |