| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,980 |
3,804 |
$268K |
| 92015 |
Determination of refractive state |
5,010 |
4,782 |
$182K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,411 |
5,141 |
$156K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,928 |
3,694 |
$139K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,088 |
1,029 |
$92K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,903 |
3,672 |
$55K |
| V2020 |
Frames, purchases |
4,098 |
3,848 |
$48K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,121 |
1,047 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
609 |
591 |
$20K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
419 |
178 |
$13K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
356 |
152 |
$11K |
| 92060 |
|
178 |
162 |
$5K |
| 92065 |
|
27 |
14 |
$624.24 |
| 2023F |
|
39 |
38 |
$0.00 |