| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,626 |
3,264 |
$273K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,962 |
2,634 |
$182K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,067 |
907 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,243 |
2,168 |
$30K |
| 92015 |
Determination of refractive state |
6,046 |
5,250 |
$19K |
| V2020 |
Frames, purchases |
387 |
318 |
$5K |
| 92133 |
|
237 |
211 |
$4K |
| 92250 |
|
139 |
104 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
188 |
173 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
232 |
193 |
$2K |
| 92083 |
|
40 |
28 |
$1K |
| 92134 |
|
13 |
12 |
$181.20 |
| 3072F |
|
82 |
68 |
$0.00 |
| 2026F |
|
29 |
29 |
$0.00 |