| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,282 |
3,888 |
$162K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,739 |
4,484 |
$140K |
| 92015 |
Determination of refractive state |
7,596 |
7,174 |
$133K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,230 |
3,064 |
$80K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,303 |
1,222 |
$60K |
| V2020 |
Frames, purchases |
741 |
702 |
$21K |
| 92341 |
|
337 |
321 |
$10K |
| 92002 |
|
114 |
108 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
215 |
196 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
14 |
$613.20 |
| 92083 |
|
13 |
13 |
$372.99 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
50 |
48 |
$290.00 |
| 2023F |
|
45 |
45 |
$0.00 |
| 3072F |
|
104 |
103 |
$0.00 |