| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,818 |
1,781 |
$146K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,702 |
1,669 |
$117K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,732 |
2,702 |
$53K |
| 92015 |
Determination of refractive state |
3,852 |
3,779 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
368 |
305 |
$17K |
| 92250 |
|
228 |
223 |
$6K |
| 92081 |
|
285 |
279 |
$5K |
| 92285 |
|
349 |
307 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
54 |
$4K |
| 92083 |
|
62 |
62 |
$2K |
| V2020 |
Frames, purchases |
92 |
85 |
$2K |
| 92133 |
|
67 |
66 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
90 |
83 |
$1K |
| 92025 |
|
63 |
63 |
$1K |
| 92370 |
|
63 |
62 |
$1K |
| 92273 |
|
14 |
14 |
$895.80 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
29 |
27 |
$280.00 |