| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,077 |
910 |
$52K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
917 |
804 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,389 |
1,187 |
$42K |
| 92015 |
Determination of refractive state |
2,060 |
1,814 |
$38K |
| V2020 |
Frames, purchases |
334 |
318 |
$8K |
| 92341 |
|
217 |
208 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
237 |
170 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
113 |
106 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
25 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
33 |
32 |
$562.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
15 |
$479.15 |
| 3072F |
|
13 |
13 |
$80.05 |