| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,691 |
9,685 |
$246K |
| V2020 |
Frames, purchases |
13,292 |
13,274 |
$167K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,362 |
10,346 |
$132K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,750 |
3,749 |
$85K |
| 92015 |
Determination of refractive state |
14,572 |
14,563 |
$69K |
| 92341 |
|
2,338 |
2,338 |
$40K |
| 92250 |
|
327 |
327 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
478 |
443 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
15 |
$442.08 |
| 92083 |
|
29 |
29 |
$420.45 |