| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,595 |
3,163 |
$278K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,674 |
1,493 |
$151K |
| 92015 |
Determination of refractive state |
6,309 |
5,084 |
$136K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,521 |
4,445 |
$110K |
| V2020 |
Frames, purchases |
2,233 |
1,556 |
$55K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,215 |
743 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,940 |
1,345 |
$51K |
| 92002 |
|
101 |
59 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
133 |
107 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
86 |
86 |
$2K |
| 92250 |
|
21 |
12 |
$0.00 |
| 3072F |
|
76 |
76 |
$0.00 |