| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,679 |
1,632 |
$131K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,115 |
2,052 |
$131K |
| V2020 |
Frames, purchases |
1,421 |
1,365 |
$59K |
| 92015 |
Determination of refractive state |
5,236 |
4,871 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
204 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,495 |
1,483 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
314 |
177 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
62 |
$5K |
| 92273 |
|
24 |
24 |
$2K |
| 92250 |
|
95 |
89 |
$1K |