| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,483 |
5,684 |
$546K |
| V2020 |
Frames, purchases |
6,554 |
5,930 |
$216K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,591 |
1,387 |
$85K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,538 |
1,281 |
$84K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,778 |
5,661 |
$64K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,221 |
1,176 |
$37K |
| 92341 |
|
1,823 |
1,775 |
$34K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
828 |
793 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,515 |
6,396 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,599 |
1,444 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$523.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$269.64 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
39 |
37 |
$104.90 |