| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,298 |
1,266 |
$75K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
911 |
894 |
$71K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,579 |
3,418 |
$59K |
| 92015 |
Determination of refractive state |
4,637 |
4,460 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
603 |
584 |
$19K |
| V2020 |
Frames, purchases |
80 |
72 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
113 |
103 |
$4K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
141 |
136 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
60 |
29 |
$2K |
| 92002 |
|
56 |
47 |
$2K |
| 92083 |
|
25 |
25 |
$482.68 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
12 |
12 |
$440.00 |
| 92250 |
|
29 |
28 |
$295.04 |
| 92133 |
|
12 |
12 |
$192.17 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
71 |
62 |
$0.00 |