| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,298 |
2,195 |
$89K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,206 |
1,127 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,254 |
1,193 |
$25K |
| 92341 |
|
453 |
431 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
186 |
$7K |
| 92250 |
|
138 |
129 |
$3K |
| V2020 |
Frames, purchases |
288 |
270 |
$2K |
| 92015 |
Determination of refractive state |
634 |
606 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
41 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
64 |
63 |
$970.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
55 |
54 |
$250.00 |
| 92310 |
|
13 |
12 |
$140.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
17 |
17 |
$8.46 |
| 2023F |
|
30 |
27 |
$0.00 |
| 99072 |
|
130 |
124 |
$0.00 |
| 2026F |
|
13 |
12 |
$0.00 |