| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,171 |
2,835 |
$141K |
| 92250 |
|
3,227 |
2,878 |
$130K |
| 92285 |
|
4,623 |
4,085 |
$128K |
| 68761 |
|
1,533 |
999 |
$98K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,121 |
1,956 |
$85K |
| 92015 |
Determination of refractive state |
4,732 |
4,349 |
$83K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,028 |
1,880 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
347 |
328 |
$25K |
| 92225 |
|
357 |
209 |
$12K |
| 92341 |
|
134 |
129 |
$4K |
| 92020 |
|
218 |
204 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
125 |
121 |
$2K |
| V2020 |
Frames, purchases |
59 |
58 |
$1K |
| 92283 |
|
24 |
15 |
$560.63 |
| 92226 |
|
30 |
17 |
$491.32 |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
13 |
12 |
$14.00 |