| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,140 |
1,118 |
$45K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
761 |
740 |
$41K |
| V2020 |
Frames, purchases |
1,711 |
1,607 |
$41K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
360 |
353 |
$40K |
| 92225 |
|
1,204 |
1,074 |
$23K |
| 92341 |
|
422 |
417 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
95 |
$5K |
| 92015 |
Determination of refractive state |
865 |
856 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17 |
12 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
92 |
92 |
$1K |
| 92202 |
|
161 |
148 |
$1K |