| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,228 |
3,219 |
$235K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,533 |
2,526 |
$163K |
| 92015 |
Determination of refractive state |
5,845 |
5,829 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,004 |
2,900 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155 |
150 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
118 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
56 |
56 |
$4K |
| V2020 |
Frames, purchases |
138 |
138 |
$3K |
| 92370 |
|
142 |
133 |
$2K |
| 92133 |
|
99 |
97 |
$2K |
| 92310 |
|
15 |
15 |
$875.55 |
| 2023F |
|
597 |
591 |
$0.00 |