| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,401 |
3,219 |
$266K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,359 |
1,286 |
$130K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,463 |
2,391 |
$130K |
| 92015 |
Determination of refractive state |
4,145 |
4,016 |
$54K |
| 92370 |
|
1,123 |
1,099 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
43 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$609.84 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
26 |
25 |
$532.00 |
| V2020 |
Frames, purchases |
13 |
13 |
$312.00 |