| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,683 |
1,592 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
499 |
480 |
$30K |
| 92015 |
Determination of refractive state |
1,314 |
1,203 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
358 |
349 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
236 |
201 |
$15K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
700 |
663 |
$13K |
| V2020 |
Frames, purchases |
787 |
749 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
750 |
709 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
123 |
108 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
24 |
$2K |
| 92201 |
|
120 |
82 |
$1K |
| 92060 |
|
54 |
51 |
$1K |
| 92225 |
|
15 |
14 |
$505.43 |
| S0508 |
Trifocal vision prescription lens (safety, athletic, or sunglass), per lens |
12 |
12 |
$475.20 |