| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,268 |
2,149 |
$130K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,252 |
1,167 |
$93K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,021 |
3,658 |
$64K |
| 92015 |
Determination of refractive state |
4,180 |
3,993 |
$34K |
| 92250 |
|
677 |
614 |
$26K |
| 92133 |
|
516 |
462 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
318 |
290 |
$11K |
| 92083 |
|
204 |
178 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
149 |
134 |
$4K |
| V2020 |
Frames, purchases |
124 |
114 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
108 |
98 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
31 |
29 |
$915.72 |
| 76514 |
|
110 |
91 |
$632.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$603.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
83 |
74 |
$190.28 |