| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,740 |
4,476 |
$241K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,145 |
4,161 |
$239K |
| 92015 |
Determination of refractive state |
13,543 |
10,743 |
$167K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,224 |
3,140 |
$66K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,571 |
3,583 |
$58K |
| V2020 |
Frames, purchases |
5,289 |
4,106 |
$36K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,480 |
2,207 |
$24K |
| 92342 |
|
445 |
432 |
$13K |
| 92250 |
|
101 |
69 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$1K |
| V2781 |
Progressive lens, per lens |
26 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73 |
40 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$1K |
| 92341 |
|
57 |
55 |
$914.98 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
56 |
38 |
$870.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$377.63 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$143.00 |