| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,131 |
7,115 |
$345K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,035 |
7,018 |
$131K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,842 |
1,838 |
$88K |
| 92015 |
Determination of refractive state |
8,789 |
8,771 |
$36K |
| 92250 |
|
955 |
936 |
$13K |
| V2020 |
Frames, purchases |
644 |
644 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
406 |
406 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219 |
201 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
82 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
69 |
64 |
$809.60 |
| 3072F |
|
24 |
24 |
$0.00 |
| 99072 |
|
27 |
26 |
$0.00 |