| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,668 |
3,601 |
$153K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,465 |
3,391 |
$147K |
| 92015 |
Determination of refractive state |
7,387 |
7,231 |
$74K |
| 92310 |
|
1,040 |
1,018 |
$40K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
107 |
104 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
29 |
$1K |
| V2523 |
Contact lens, hydrophilic, extended wear, per lens |
24 |
24 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$577.60 |
| 2033F |
|
160 |
160 |
$0.00 |
| 2023F |
|
65 |
65 |
$0.00 |
| 2026F |
|
115 |
115 |
$0.00 |