| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,189 |
1,149 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
924 |
886 |
$79K |
| V2020 |
Frames, purchases |
1,036 |
1,020 |
$68K |
| 92015 |
Determination of refractive state |
1,797 |
1,755 |
$33K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
967 |
955 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
433 |
422 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$869.71 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$668.09 |
| 92002 |
|
13 |
12 |
$354.17 |