| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,994 |
1,903 |
$84K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
765 |
721 |
$41K |
| 92015 |
Determination of refractive state |
2,799 |
2,661 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,354 |
1,326 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,606 |
1,161 |
$24K |
| V2020 |
Frames, purchases |
1,440 |
1,372 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
730 |
452 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
475 |
403 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
355 |
307 |
$861.23 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
45 |
$682.92 |