| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,722 |
4,621 |
$197K |
| 92015 |
Determination of refractive state |
7,225 |
7,073 |
$92K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,436 |
1,416 |
$64K |
| V2020 |
Frames, purchases |
3,079 |
3,055 |
$51K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,269 |
2,250 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
444 |
428 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,727 |
1,712 |
$17K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
256 |
256 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$918.30 |