| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
62,903 |
39,902 |
$11.16M |
| T1015 |
Clinic visit/encounter, all-inclusive |
9,410 |
9,001 |
$1.35M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,137 |
5,041 |
$210K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,691 |
2,623 |
$78K |
| V2020 |
Frames, purchases |
7,264 |
5,384 |
$71K |
| 92015 |
Determination of refractive state |
10,088 |
7,292 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,247 |
4,631 |
$29K |
| 92341 |
|
793 |
527 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
561 |
344 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
191 |
127 |
$2K |