| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,635 |
6,192 |
$379K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,937 |
1,795 |
$141K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,789 |
7,368 |
$129K |
| 92015 |
Determination of refractive state |
13,870 |
12,862 |
$109K |
| V2020 |
Frames, purchases |
2,929 |
2,714 |
$61K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,802 |
2,607 |
$41K |
| 92065 |
|
774 |
293 |
$15K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
317 |
307 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
97 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,282 |
1,197 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
70 |
69 |
$2K |
| 92341 |
|
25 |
25 |
$450.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
85 |
82 |
$396.34 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
32 |
30 |
$150.00 |
| 1036F |
|
369 |
355 |
$0.00 |