| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,100 |
1,965 |
$115K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,845 |
1,603 |
$111K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,457 |
1,361 |
$43K |
| V2020 |
Frames, purchases |
2,389 |
2,270 |
$34K |
| 92015 |
Determination of refractive state |
3,824 |
3,409 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,765 |
1,685 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
560 |
450 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
184 |
175 |
$5K |
| 92250 |
|
150 |
129 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
102 |
101 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$233.65 |
| 2023F |
|
1,091 |
1,056 |
$0.00 |