| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,863 |
4,440 |
$336K |
| 92015 |
Determination of refractive state |
9,814 |
8,991 |
$145K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,765 |
2,507 |
$87K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
820 |
786 |
$72K |
| 92002 |
|
774 |
646 |
$52K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,522 |
743 |
$49K |
| V2020 |
Frames, purchases |
1,206 |
1,120 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
73 |
68 |
$10K |
| 92341 |
|
92 |
87 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
23 |
12 |
$845.52 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
13 |
$772.74 |