| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,929 |
2,726 |
$240K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,378 |
2,212 |
$161K |
| V2020 |
Frames, purchases |
4,752 |
4,009 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,672 |
1,376 |
$61K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,313 |
2,968 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,247 |
2,001 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
463 |
361 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
902 |
772 |
$13K |
| 92065 |
|
320 |
101 |
$10K |
| 92250 |
|
267 |
249 |
$10K |
| 97533 |
|
317 |
101 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
761 |
628 |
$8K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
237 |
86 |
$5K |
| 68761 |
|
79 |
24 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
169 |
53 |
$4K |
| 92060 |
|
56 |
52 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
36 |
$2K |
| 92341 |
|
42 |
40 |
$469.68 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$152.75 |
| 92015 |
Determination of refractive state |
34 |
31 |
$0.00 |