| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,794 |
1,628 |
$113K |
| 92015 |
Determination of refractive state |
4,547 |
4,227 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,442 |
1,342 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,117 |
1,027 |
$32K |
| V2020 |
Frames, purchases |
832 |
800 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
458 |
449 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
162 |
$7K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
120 |
118 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
94 |
94 |
$4K |
| V2760 |
Scratch resistant coating, per lens |
94 |
93 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
74 |
74 |
$1K |
| 2023F |
|
155 |
150 |
$0.00 |