| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,241 |
3,759 |
$276K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,795 |
1,611 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,641 |
1,440 |
$89K |
| 92015 |
Determination of refractive state |
6,142 |
5,590 |
$79K |
| V2020 |
Frames, purchases |
1,267 |
1,195 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
181 |
171 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
65 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
127 |
$4K |
| 92060 |
|
89 |
80 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
58 |
58 |
$2K |
| 92133 |
|
46 |
42 |
$827.27 |
| 92136 |
|
29 |
26 |
$717.50 |
| 66821 |
|
14 |
12 |
$540.28 |