| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92273 |
|
1,009 |
1,001 |
$72K |
| 92083 |
|
1,849 |
1,842 |
$64K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
665 |
648 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
498 |
453 |
$37K |
| V2020 |
Frames, purchases |
1,200 |
1,185 |
$36K |
| 92250 |
|
1,559 |
1,554 |
$36K |
| 95930 |
|
953 |
952 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
716 |
705 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
366 |
366 |
$29K |
| 92283 |
|
933 |
932 |
$27K |
| 92015 |
Determination of refractive state |
1,747 |
1,743 |
$19K |
| 92133 |
|
771 |
762 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
725 |
714 |
$14K |
| 92275 |
|
145 |
143 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
103 |
103 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
224 |
213 |
$2K |
| 92341 |
|
49 |
49 |
$990.44 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
67 |
65 |
$764.12 |
| 92134 |
|
26 |
26 |
$580.51 |
| 0509T |
|
33 |
26 |
$16.10 |