| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
800 |
790 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
542 |
518 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
746 |
725 |
$15K |
| 92015 |
Determination of refractive state |
1,334 |
1,311 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
183 |
177 |
$8K |
| V2020 |
Frames, purchases |
424 |
417 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
172 |
171 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
210 |
133 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
42 |
36 |
$684.64 |
| 99072 |
|
13 |
13 |
$0.00 |