| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,945 |
14,589 |
$860K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,848 |
8,134 |
$643K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
19,353 |
17,866 |
$286K |
| 92015 |
Determination of refractive state |
24,463 |
22,563 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
620 |
458 |
$19K |
| V2020 |
Frames, purchases |
218 |
215 |
$14K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
340 |
328 |
$8K |
| 92341 |
|
547 |
451 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
503 |
459 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
200 |
188 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$642.95 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
12 |
12 |
$440.00 |
| 92250 |
|
17 |
12 |
$432.18 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$172.00 |
| 1036F |
|
13 |
12 |
$0.00 |