| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,252 |
2,172 |
$164K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,315 |
1,264 |
$116K |
| V2020 |
Frames, purchases |
1,744 |
1,670 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,079 |
1,030 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
860 |
833 |
$11K |
| 92015 |
Determination of refractive state |
3,413 |
3,287 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
653 |
622 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$996.78 |
| 92341 |
|
12 |
12 |
$148.32 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
58 |
58 |
$137.72 |