| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,089 |
1,085 |
$72K |
| 92250 |
|
1,453 |
1,436 |
$60K |
| 68761 |
|
274 |
136 |
$20K |
| 92285 |
|
735 |
719 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
673 |
347 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
369 |
341 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
225 |
225 |
$12K |
| V2020 |
Frames, purchases |
423 |
419 |
$7K |
| 92060 |
|
107 |
107 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
25 |
$1K |
| 92083 |
|
13 |
13 |
$616.53 |
| 92133 |
|
13 |
13 |
$360.24 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
17 |
17 |
$340.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
250 |
123 |
$0.00 |