| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,747 |
1,684 |
$85K |
| V2020 |
Frames, purchases |
529 |
464 |
$34K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
606 |
498 |
$29K |
| 92015 |
Determination of refractive state |
2,962 |
2,499 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
456 |
385 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
338 |
309 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
224 |
219 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
572 |
508 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
192 |
164 |
$7K |
| 92250 |
|
51 |
50 |
$2K |
| V2756 |
Eye glass case |
1,025 |
915 |
$1K |
| V2025 |
Deluxe frame |
162 |
145 |
$845.62 |
| 99072 |
|
42 |
39 |
$718.88 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
36 |
36 |
$0.00 |
| V2499 |
Variable sphericity lens, other type |
24 |
24 |
$0.00 |