| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
685 |
657 |
$51K |
| V2020 |
Frames, purchases |
2,450 |
2,246 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,463 |
2,261 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,109 |
1,945 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
313 |
301 |
$30K |
| 92370 |
|
1,791 |
1,719 |
$9K |
| 92015 |
Determination of refractive state |
1,101 |
1,037 |
$9K |
| V2755 |
U-v lens, per lens |
2,222 |
2,030 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132 |
115 |
$8K |
| V2199 |
Not otherwise classified, single vision lens |
79 |
76 |
$5K |
| V2299 |
Specialty bifocal (by report) |
38 |
32 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,108 |
1,946 |
$2K |
| 92250 |
|
30 |
29 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
19 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
35 |
32 |
$896.00 |
| 92060 |
|
19 |
19 |
$703.00 |