| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,762 |
4,733 |
$167K |
| V2020 |
Frames, purchases |
7,541 |
7,121 |
$141K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,465 |
6,034 |
$109K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,841 |
2,833 |
$90K |
| 92015 |
Determination of refractive state |
9,706 |
9,627 |
$70K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,817 |
1,806 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,436 |
1,265 |
$33K |
| 92341 |
|
877 |
874 |
$24K |
| 92250 |
|
358 |
353 |
$13K |
| 83861 |
|
524 |
258 |
$9K |
| V2121 |
Lenticular lens, per lens, single |
139 |
133 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
629 |
626 |
$5K |
| V2221 |
Lenticular lens, per lens, bifocal |
18 |
18 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
29 |
$1K |