| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,639 |
4,251 |
$299K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,936 |
2,686 |
$224K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,873 |
2,473 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,955 |
1,617 |
$64K |
| V2020 |
Frames, purchases |
4,214 |
3,739 |
$55K |
| 92015 |
Determination of refractive state |
7,529 |
6,816 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,367 |
2,220 |
$43K |
| 92250 |
|
947 |
789 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,495 |
1,375 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
573 |
520 |
$10K |
| 92133 |
|
98 |
95 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$1K |
| 92083 |
|
14 |
14 |
$566.88 |