| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,150 |
10,148 |
$1.03M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,652 |
2,652 |
$331K |
| 92015 |
Determination of refractive state |
12,662 |
12,656 |
$222K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,392 |
5,377 |
$163K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,266 |
3,251 |
$81K |
| V2020 |
Frames, purchases |
6,123 |
6,099 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,033 |
1,032 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
201 |
179 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
120 |
120 |
$9K |
| 92133 |
|
12 |
12 |
$355.24 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,612 |
6,586 |
$0.00 |