| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,662 |
2,657 |
$192K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,350 |
2,333 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
955 |
880 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
679 |
676 |
$25K |
| V2020 |
Frames, purchases |
931 |
926 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
240 |
240 |
$18K |
| 92015 |
Determination of refractive state |
4,361 |
4,339 |
$16K |
| V2025 |
Deluxe frame |
227 |
226 |
$11K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
14 |
13 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
660 |
655 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
157 |
156 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
83 |
73 |
$883.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$103.68 |