| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,873 |
2,791 |
$240K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,850 |
1,778 |
$186K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,321 |
4,105 |
$84K |
| V2020 |
Frames, purchases |
2,256 |
2,070 |
$63K |
| 92015 |
Determination of refractive state |
3,409 |
3,237 |
$60K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,482 |
1,292 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,861 |
1,543 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
658 |
621 |
$22K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
83 |
83 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
147 |
131 |
$3K |
| 92002 |
|
12 |
12 |
$835.68 |
| 3072F |
|
33 |
33 |
$0.00 |