| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,172 |
2,124 |
$175K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
892 |
869 |
$74K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,900 |
1,832 |
$62K |
| V2020 |
Frames, purchases |
1,968 |
1,897 |
$60K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,282 |
2,202 |
$48K |
| 92015 |
Determination of refractive state |
3,914 |
3,833 |
$47K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,375 |
772 |
$34K |
| 92060 |
|
419 |
412 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
473 |
259 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$818.73 |
| 92341 |
|
16 |
14 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
13 |
$0.00 |