| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,646 |
5,497 |
$336K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,008 |
1,936 |
$164K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,018 |
4,901 |
$148K |
| 92015 |
Determination of refractive state |
6,872 |
6,736 |
$130K |
| V2020 |
Frames, purchases |
4,346 |
4,217 |
$97K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,081 |
2,897 |
$60K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
974 |
495 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
365 |
186 |
$11K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
97 |
50 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
24 |
$968.64 |
| 3072F |
|
1,335 |
1,330 |
$0.00 |