| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,344 |
2,259 |
$205K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,069 |
2,980 |
$197K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,679 |
2,597 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,422 |
1,305 |
$51K |
| V2020 |
Frames, purchases |
1,750 |
1,603 |
$43K |
| 92015 |
Determination of refractive state |
2,337 |
2,219 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
279 |
253 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
611 |
527 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
322 |
310 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
886 |
817 |
$6K |
| V2760 |
Scratch resistant coating, per lens |
613 |
588 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
36 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$595.00 |
| 92002 |
|
13 |
13 |
$585.04 |
| 92083 |
|
13 |
12 |
$565.51 |
| 92133 |
|
14 |
13 |
$454.56 |