| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,411 |
2,152 |
$151K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,404 |
1,244 |
$103K |
| V2020 |
Frames, purchases |
2,832 |
2,520 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,836 |
1,700 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,462 |
937 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
407 |
282 |
$15K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
424 |
266 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
459 |
412 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
154 |
113 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$465.14 |
| 92015 |
Determination of refractive state |
60 |
52 |
$0.00 |
| 3072F |
|
26 |
24 |
$0.00 |