| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
409 |
400 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
303 |
290 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,338 |
1,241 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
596 |
496 |
$18K |
| V2750 |
Anti-reflective coating, per lens |
301 |
269 |
$13K |
| 92015 |
Determination of refractive state |
1,854 |
1,629 |
$11K |
| V2020 |
Frames, purchases |
817 |
749 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
138 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
781 |
718 |
$3K |
| 92250 |
|
123 |
105 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
148 |
142 |
$2K |
| 92083 |
|
66 |
53 |
$2K |
| 92283 |
|
102 |
99 |
$1K |
| 92273 |
|
12 |
12 |
$849.18 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$652.40 |
| 92133 |
|
27 |
25 |
$448.52 |