| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,389 |
2,033 |
$142K |
| 92015 |
Determination of refractive state |
3,781 |
3,156 |
$93K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
940 |
815 |
$73K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,937 |
2,426 |
$42K |
| V2020 |
Frames, purchases |
1,339 |
1,060 |
$16K |
| 92250 |
|
649 |
565 |
$7K |
| 83861 |
|
911 |
568 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
322 |
276 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
35 |
25 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
135 |
118 |
$916.09 |
| 92081 |
|
125 |
114 |
$179.71 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
41 |
$132.43 |