| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,194 |
6,083 |
$247K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,984 |
6,750 |
$139K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,053 |
2,936 |
$121K |
| 92015 |
Determination of refractive state |
12,592 |
12,037 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,273 |
1,124 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
841 |
791 |
$31K |
| 92341 |
|
735 |
704 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
223 |
188 |
$13K |
| V2020 |
Frames, purchases |
348 |
342 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
67 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
43 |
42 |
$997.28 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
218 |
216 |
$886.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$240.16 |
| 3072F |
|
78 |
78 |
$0.00 |