| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,580 |
2,548 |
$171K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,870 |
1,846 |
$125K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,993 |
4,947 |
$102K |
| 92015 |
Determination of refractive state |
5,463 |
5,405 |
$58K |
| 92341 |
|
2,086 |
2,069 |
$48K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
575 |
558 |
$24K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
369 |
358 |
$14K |
| 92250 |
|
388 |
379 |
$8K |
| V2020 |
Frames, purchases |
778 |
756 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219 |
213 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
46 |
42 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
55 |
55 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
154 |
154 |
$912.00 |