| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,409 |
2,313 |
$167K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,675 |
2,541 |
$147K |
| 92015 |
Determination of refractive state |
5,768 |
5,394 |
$92K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
335 |
327 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
350 |
268 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
284 |
278 |
$7K |
| V2020 |
Frames, purchases |
379 |
372 |
$6K |
| 92250 |
|
147 |
117 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
53 |
$3K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
66 |
61 |
$0.00 |