| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,373 |
2,317 |
$224K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,545 |
1,510 |
$176K |
| 92015 |
Determination of refractive state |
4,153 |
4,023 |
$118K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,885 |
2,794 |
$65K |
| V2020 |
Frames, purchases |
3,341 |
3,201 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
958 |
950 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
768 |
733 |
$2K |
| 92341 |
|
31 |
29 |
$529.91 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
12 |
$455.83 |
| 2033F |
|
1,475 |
1,425 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,092 |
1,047 |
$0.00 |