| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,483 |
4,310 |
$180K |
| 92015 |
Determination of refractive state |
5,525 |
5,364 |
$97K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,297 |
3,198 |
$97K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,360 |
1,306 |
$61K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
452 |
389 |
$12K |
| V2020 |
Frames, purchases |
363 |
362 |
$8K |
| 92341 |
|
66 |
66 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
168 |
168 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
111 |
111 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
81 |
81 |
$998.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
26 |
$881.88 |
| 3072F |
|
32 |
31 |
$0.00 |
| 2023F |
|
55 |
55 |
$0.00 |