| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,083 |
2,691 |
$215K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
658 |
596 |
$60K |
| 92015 |
Determination of refractive state |
4,371 |
3,861 |
$56K |
| V2020 |
Frames, purchases |
1,770 |
1,565 |
$47K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,113 |
786 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
237 |
162 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
25 |
$800.07 |
| 92133 |
|
17 |
14 |
$257.34 |