| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,817 |
9,933 |
$515K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,847 |
8,636 |
$446K |
| 92015 |
Determination of refractive state |
16,828 |
13,879 |
$424K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,375 |
4,918 |
$174K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,498 |
2,017 |
$144K |
| 92250 |
|
2,289 |
1,942 |
$64K |
| 92002 |
|
353 |
302 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
203 |
163 |
$6K |
| 92370 |
|
108 |
100 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
24 |
$2K |
| 92083 |
|
32 |
24 |
$656.06 |
| 92133 |
|
37 |
24 |
$600.93 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
29 |
13 |
$0.00 |