| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,864 |
3,687 |
$311K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,373 |
2,283 |
$233K |
| 92065 |
|
6,513 |
2,517 |
$222K |
| 92341 |
|
5,147 |
4,008 |
$146K |
| 92015 |
Determination of refractive state |
4,961 |
4,834 |
$58K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
835 |
529 |
$49K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,160 |
466 |
$35K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,343 |
523 |
$29K |
| V2020 |
Frames, purchases |
2,195 |
844 |
$26K |
| 92370 |
|
571 |
405 |
$13K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
310 |
144 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
27 |
26 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
63 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$756.80 |