| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,908 |
7,829 |
$561K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,865 |
4,826 |
$310K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,274 |
11,094 |
$204K |
| 92015 |
Determination of refractive state |
12,275 |
12,164 |
$117K |
| V2799 |
Vision item or service, miscellaneous |
354 |
352 |
$34K |
| 92341 |
|
1,609 |
1,582 |
$34K |
| V2020 |
Frames, purchases |
1,055 |
1,045 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
288 |
278 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
261 |
261 |
$11K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
27 |
27 |
$2K |
| 92370 |
|
93 |
89 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
26 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$946.75 |
| 92342 |
|
39 |
39 |
$902.02 |