| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
356 |
251 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
235 |
178 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
351 |
296 |
$10K |
| 92015 |
Determination of refractive state |
1,762 |
1,471 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
85 |
$5K |
| V2020 |
Frames, purchases |
174 |
163 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
116 |
106 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
172 |
161 |
$4K |
| 92060 |
|
58 |
56 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
160 |
151 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$247.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$191.88 |
| 99024 |
|
26 |
26 |
$0.00 |