| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,262 |
4,126 |
$153K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,823 |
1,767 |
$67K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,646 |
3,569 |
$67K |
| 92015 |
Determination of refractive state |
5,767 |
5,594 |
$52K |
| 92341 |
|
1,689 |
1,629 |
$35K |
| V2020 |
Frames, purchases |
3,120 |
3,043 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,143 |
2,088 |
$30K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
224 |
219 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
304 |
303 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
13 |
$366.32 |
| 3072F |
|
40 |
39 |
$190.00 |
| 2033F |
|
27 |
27 |
$0.00 |