| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,125 |
3,842 |
$341K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,784 |
2,602 |
$189K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
449 |
391 |
$20K |
| 92250 |
|
408 |
359 |
$15K |
| 92015 |
Determination of refractive state |
6,659 |
6,082 |
$6K |
| V2020 |
Frames, purchases |
260 |
211 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
154 |
136 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
164 |
152 |
$2K |
| 92133 |
|
27 |
27 |
$605.21 |
| 92285 |
|
19 |
13 |
$326.30 |
| 92341 |
|
21 |
13 |
$168.06 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
19 |
13 |
$163.14 |