| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,021 |
1,733 |
$90K |
| 92015 |
Determination of refractive state |
4,526 |
3,922 |
$80K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,958 |
1,644 |
$80K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,452 |
2,005 |
$67K |
| 92341 |
|
971 |
813 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
491 |
436 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
282 |
259 |
$13K |
| V2020 |
Frames, purchases |
967 |
859 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
134 |
126 |
$8K |
| V2025 |
Deluxe frame |
177 |
150 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
528 |
375 |
$4K |
| 92133 |
|
149 |
131 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
148 |
123 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
692 |
428 |
$3K |
| 92083 |
|
80 |
76 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
124 |
78 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
85 |
57 |
$643.50 |
| 92134 |
|
28 |
26 |
$621.20 |
| 99072 |
|
17 |
17 |
$0.00 |