| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,959 |
2,617 |
$135K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,752 |
2,624 |
$115K |
| 92015 |
Determination of refractive state |
6,888 |
6,199 |
$98K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,462 |
1,370 |
$95K |
| V2020 |
Frames, purchases |
2,034 |
1,941 |
$45K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
95 |
61 |
$43K |
| 92136 |
|
852 |
615 |
$16K |
| 92002 |
|
303 |
291 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
524 |
501 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
256 |
247 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
425 |
335 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
133 |
81 |
$3K |
| V2756 |
Eye glass case |
1,269 |
1,224 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
41 |
39 |
$696.26 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$598.32 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
14 |
$437.12 |