| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,580 |
3,314 |
$248K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,863 |
3,503 |
$67K |
| V2020 |
Frames, purchases |
4,194 |
3,801 |
$63K |
| 92015 |
Determination of refractive state |
3,819 |
3,484 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
629 |
562 |
$54K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,926 |
2,654 |
$44K |
| 92250 |
|
1,645 |
1,536 |
$37K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
121 |
100 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
63 |
62 |
$1K |
| 92273 |
|
15 |
15 |
$1K |
| 92083 |
|
24 |
24 |
$836.57 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$822.05 |
| 2023F |
|
122 |
119 |
$0.00 |