| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,683 |
1,599 |
$121K |
| V2020 |
Frames, purchases |
2,792 |
2,620 |
$82K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,457 |
1,350 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,374 |
2,265 |
$47K |
| 92015 |
Determination of refractive state |
3,255 |
3,047 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
417 |
395 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
157 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
331 |
212 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
181 |
91 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
119 |
$5K |
| 92341 |
|
120 |
106 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
25 |
15 |
$665.28 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$0.00 |