| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,784 |
3,333 |
$172K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,094 |
1,935 |
$163K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,467 |
2,322 |
$118K |
| 92015 |
Determination of refractive state |
6,086 |
5,606 |
$56K |
| V2020 |
Frames, purchases |
646 |
637 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
236 |
186 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
73 |
65 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
317 |
270 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
29 |
$1K |
| 92065 |
|
33 |
12 |
$981.30 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
25 |
$752.00 |
| 92370 |
|
28 |
26 |
$696.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
24 |
24 |
$602.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$288.00 |