| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,228 |
2,181 |
$109K |
| 92015 |
Determination of refractive state |
2,819 |
2,732 |
$76K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,365 |
1,989 |
$50K |
| 92250 |
|
1,086 |
1,032 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
335 |
325 |
$18K |
| V2020 |
Frames, purchases |
1,892 |
1,549 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,179 |
1,031 |
$12K |
| 92083 |
|
121 |
110 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
76 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
421 |
391 |
$2K |
| 92081 |
|
27 |
27 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$770.71 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
82 |
80 |
$0.00 |