| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,555 |
3,469 |
$149K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,540 |
2,431 |
$115K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,512 |
3,411 |
$103K |
| 92015 |
Determination of refractive state |
5,938 |
5,756 |
$102K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
713 |
653 |
$22K |
| V2020 |
Frames, purchases |
578 |
574 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
193 |
187 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
159 |
157 |
$2K |
| V2025 |
Deluxe frame |
122 |
122 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
83 |
79 |
$752.98 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$447.44 |
| 92341 |
|
12 |
12 |
$355.41 |
| 3072F |
|
117 |
113 |
$0.00 |
| 2023F |
|
57 |
55 |
$0.00 |