| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,563 |
2,552 |
$105K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,479 |
2,459 |
$93K |
| V2020 |
Frames, purchases |
3,975 |
3,931 |
$83K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,191 |
3,155 |
$67K |
| 92015 |
Determination of refractive state |
5,124 |
5,080 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,697 |
1,565 |
$39K |
| 92134 |
|
591 |
587 |
$22K |
| 92341 |
|
563 |
558 |
$17K |
| 92225 |
|
152 |
144 |
$13K |
| 92250 |
|
320 |
317 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
341 |
316 |
$12K |
| 92133 |
|
318 |
316 |
$11K |
| 92201 |
|
321 |
307 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
408 |
402 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
773 |
764 |
$6K |
| 92083 |
|
180 |
179 |
$5K |
| 92273 |
|
20 |
20 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$818.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$792.82 |