| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,565 |
4,226 |
$335K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,194 |
2,998 |
$305K |
| 92015 |
Determination of refractive state |
8,802 |
7,932 |
$238K |
| 92060 |
|
4,273 |
4,020 |
$153K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,064 |
3,757 |
$102K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,471 |
1,525 |
$46K |
| V2020 |
Frames, purchases |
1,726 |
1,493 |
$27K |
| 92002 |
|
374 |
305 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
308 |
292 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
283 |
223 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
106 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
310 |
248 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
177 |
140 |
$2K |
| 99243 |
|
18 |
17 |
$1K |
| 92250 |
|
12 |
12 |
$381.18 |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
62 |
30 |
$215.68 |
| 2023F |
|
144 |
135 |
$0.00 |