| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,273 |
4,199 |
$299K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,221 |
1,189 |
$100K |
| 92015 |
Determination of refractive state |
6,858 |
6,721 |
$76K |
| V2020 |
Frames, purchases |
2,719 |
2,623 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,269 |
2,188 |
$47K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,184 |
1,179 |
$30K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,913 |
2,798 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86 |
78 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
154 |
81 |
$2K |
| 92250 |
|
102 |
100 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
14 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
107 |
71 |
$1K |
| 92341 |
|
27 |
25 |
$324.19 |