| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,751 |
2,692 |
$187K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,518 |
1,467 |
$138K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
455 |
433 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
246 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
350 |
336 |
$11K |
| V2020 |
Frames, purchases |
342 |
327 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
340 |
324 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
192 |
168 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
85 |
$4K |
| 92060 |
|
65 |
65 |
$3K |
| 92015 |
Determination of refractive state |
541 |
528 |
$525.72 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16 |
12 |
$64.00 |
| 3072F |
|
325 |
323 |
$0.00 |
| 2023F |
|
1,790 |
1,780 |
$0.00 |