| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,942 |
4,798 |
$345K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,391 |
1,345 |
$126K |
| 92015 |
Determination of refractive state |
8,252 |
8,011 |
$93K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,062 |
2,942 |
$68K |
| V2020 |
Frames, purchases |
1,604 |
1,530 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
178 |
141 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
233 |
222 |
$6K |
| 92134 |
|
118 |
107 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
41 |
37 |
$2K |
| 00142 |
|
45 |
25 |
$2K |
| 92341 |
|
57 |
54 |
$2K |
| 92136 |
|
16 |
15 |
$390.94 |