| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
927 |
828 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,259 |
1,163 |
$46K |
| 92015 |
Determination of refractive state |
2,112 |
1,911 |
$30K |
| V2020 |
Frames, purchases |
756 |
693 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,128 |
545 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
675 |
636 |
$15K |
| V2760 |
Scratch resistant coating, per lens |
916 |
489 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
857 |
471 |
$8K |
| 92133 |
|
319 |
278 |
$5K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
16 |
12 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
44 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
27 |
24 |
$469.20 |
| 92202 |
|
28 |
28 |
$100.10 |