| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,615 |
8,197 |
$614K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,160 |
4,874 |
$418K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,384 |
10,019 |
$209K |
| 92015 |
Determination of refractive state |
13,903 |
13,172 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,845 |
1,511 |
$90K |
| V2020 |
Frames, purchases |
1,081 |
1,066 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
202 |
202 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
241 |
235 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
68 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$1K |