| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,502 |
3,149 |
$242K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,034 |
907 |
$86K |
| 92060 |
|
2,791 |
2,203 |
$80K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,693 |
1,362 |
$72K |
| V2020 |
Frames, purchases |
3,145 |
2,794 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
717 |
572 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,741 |
1,641 |
$23K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,959 |
1,257 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
750 |
672 |
$8K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
20 |
12 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
366 |
265 |
$4K |
| 92136 |
|
39 |
14 |
$484.40 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
37 |
26 |
$347.40 |
| 92015 |
Determination of refractive state |
46 |
43 |
$0.00 |