| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,660 |
5,653 |
$318K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,704 |
3,691 |
$184K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,681 |
9,591 |
$175K |
| 92015 |
Determination of refractive state |
13,106 |
13,088 |
$104K |
| 92370 |
|
2,492 |
2,398 |
$44K |
| 92060 |
|
554 |
551 |
$20K |
| V2020 |
Frames, purchases |
736 |
700 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
235 |
222 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
65 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
43 |
41 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$689.00 |
| 92341 |
|
12 |
12 |
$291.24 |
| V2750 |
Anti-reflective coating, per lens |
33 |
29 |
$0.00 |