| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,152 |
3,066 |
$126K |
| 92015 |
Determination of refractive state |
8,505 |
8,005 |
$126K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,509 |
5,414 |
$115K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,408 |
2,320 |
$100K |
| V2020 |
Frames, purchases |
5,593 |
5,486 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
980 |
916 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
510 |
453 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
400 |
371 |
$22K |
| 92341 |
|
666 |
655 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,476 |
1,388 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
288 |
275 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
14 |
14 |
$414.70 |
| 92083 |
|
13 |
13 |
$296.45 |
| 92133 |
|
13 |
13 |
$159.60 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
56 |
28 |
$12.18 |
| V2750 |
Anti-reflective coating, per lens |
32 |
31 |
$0.00 |