| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,914 |
3,913 |
$403K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,826 |
2,826 |
$357K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,036 |
7,003 |
$211K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,026 |
6,922 |
$193K |
| 92015 |
Determination of refractive state |
6,768 |
6,762 |
$118K |
| V2020 |
Frames, purchases |
6,982 |
6,951 |
$69K |
| 92250 |
|
1,910 |
1,909 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181 |
166 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
113 |
113 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
111 |
111 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
79 |
$3K |
| 92133 |
|
28 |
28 |
$870.85 |
| 92341 |
|
12 |
12 |
$414.84 |