| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,140 |
3,726 |
$176K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,948 |
3,537 |
$110K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,448 |
2,211 |
$109K |
| 92015 |
Determination of refractive state |
6,164 |
5,543 |
$101K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
793 |
704 |
$41K |
| V2020 |
Frames, purchases |
815 |
755 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
557 |
458 |
$25K |
| V2025 |
Deluxe frame |
877 |
775 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
371 |
344 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,035 |
966 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
591 |
541 |
$6K |
| 92341 |
|
166 |
132 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
52 |
47 |
$2K |
| 92250 |
|
25 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$636.27 |