| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,900 |
4,519 |
$399K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,251 |
2,116 |
$239K |
| V2020 |
Frames, purchases |
4,641 |
4,337 |
$163K |
| 92015 |
Determination of refractive state |
8,475 |
7,766 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,418 |
1,724 |
$106K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,210 |
1,932 |
$90K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
869 |
759 |
$30K |
| V2755 |
U-v lens, per lens |
737 |
697 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
184 |
$13K |
| 92250 |
|
119 |
99 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
29 |
$1K |