| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,781 |
1,457 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,127 |
1,097 |
$76K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,393 |
2,224 |
$47K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
845 |
380 |
$36K |
| 92341 |
|
1,751 |
1,195 |
$33K |
| V2020 |
Frames, purchases |
1,405 |
678 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
465 |
446 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
411 |
316 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
541 |
271 |
$19K |
| 92015 |
Determination of refractive state |
2,574 |
1,113 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
101 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
69 |
$7K |
| 92002 |
|
82 |
82 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
20 |
12 |
$798.10 |
| 92370 |
|
26 |
13 |
$368.09 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
19 |
12 |
$141.46 |