| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92273 |
|
2,401 |
2,063 |
$154K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,856 |
1,783 |
$113K |
| 92083 |
|
3,325 |
3,299 |
$112K |
| 95930 |
|
2,350 |
2,335 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
947 |
942 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,534 |
1,511 |
$64K |
| 92250 |
|
2,630 |
2,615 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
617 |
563 |
$42K |
| 92283 |
|
1,891 |
1,887 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,916 |
1,904 |
$38K |
| 92133 |
|
1,822 |
1,805 |
$36K |
| 92275 |
|
376 |
326 |
$29K |
| V2020 |
Frames, purchases |
1,063 |
1,053 |
$26K |
| 92015 |
Determination of refractive state |
2,527 |
2,504 |
$24K |
| 92134 |
|
342 |
340 |
$7K |
| 92341 |
|
222 |
219 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
194 |
194 |
$2K |
| 2026F |
|
1,147 |
1,043 |
$0.00 |