| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,933 |
3,915 |
$322K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,362 |
4,356 |
$306K |
| V2020 |
Frames, purchases |
8,088 |
8,029 |
$250K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,734 |
6,673 |
$133K |
| 92015 |
Determination of refractive state |
8,296 |
8,271 |
$93K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,673 |
3,646 |
$61K |
| 92341 |
|
1,875 |
1,868 |
$41K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,343 |
2,321 |
$30K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
388 |
386 |
$17K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
474 |
473 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
154 |
143 |
$7K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
79 |
79 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
90 |
90 |
$2K |
| 92250 |
|
26 |
26 |
$705.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$394.56 |
| 92283 |
|
12 |
12 |
$324.72 |