| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,405 |
1,261 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
943 |
894 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,543 |
1,239 |
$47K |
| 92015 |
Determination of refractive state |
3,267 |
3,000 |
$25K |
| V2020 |
Frames, purchases |
1,153 |
1,142 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,271 |
1,262 |
$13K |
| 92134 |
|
1,286 |
1,052 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
381 |
379 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
258 |
213 |
$7K |
| 92250 |
|
205 |
176 |
$4K |
| 92083 |
|
99 |
81 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
72 |
72 |
$2K |
| 92133 |
|
188 |
163 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
24 |
$1K |