| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,567 |
4,499 |
$238K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,874 |
3,808 |
$205K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,578 |
5,474 |
$92K |
| 92015 |
Determination of refractive state |
8,390 |
8,287 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
162 |
$9K |
| V2020 |
Frames, purchases |
295 |
289 |
$4K |
| 92370 |
|
148 |
146 |
$3K |
| 92341 |
|
91 |
90 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$909.61 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
53 |
29 |
$590.00 |
| 92250 |
|
13 |
12 |
$335.29 |