| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,345 |
4,030 |
$172K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,724 |
3,471 |
$160K |
| 92015 |
Determination of refractive state |
9,201 |
8,622 |
$122K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,640 |
5,347 |
$113K |
| 92341 |
|
1,149 |
1,075 |
$26K |
| V2020 |
Frames, purchases |
1,218 |
1,125 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
183 |
167 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
993 |
916 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
357 |
317 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
44 |
42 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$413.35 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$240.57 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$208.00 |