| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,907 |
2,678 |
$236K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,207 |
2,641 |
$215K |
| V2020 |
Frames, purchases |
6,572 |
5,239 |
$58K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
339 |
273 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,262 |
3,972 |
$18K |
| 92015 |
Determination of refractive state |
5,489 |
4,655 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,410 |
2,678 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,951 |
1,756 |
$2K |
| 92250 |
|
266 |
226 |
$946.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
24 |
$198.64 |
| 92083 |
|
50 |
38 |
$150.73 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
249 |
227 |
$15.00 |
| V2025 |
Deluxe frame |
14 |
14 |
$0.00 |