| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,350 |
1,297 |
$116K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,435 |
1,372 |
$98K |
| V2020 |
Frames, purchases |
1,420 |
1,363 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
204 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
655 |
639 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,171 |
1,161 |
$11K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
132 |
127 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
65 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
265 |
238 |
$3K |
| 92134 |
|
71 |
64 |
$869.78 |
| 92133 |
|
12 |
12 |
$198.41 |
| 92015 |
Determination of refractive state |
3,206 |
2,937 |
$0.00 |
| 3072F |
|
13 |
13 |
$0.00 |