| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,371 |
2,291 |
$87K |
| 92015 |
Determination of refractive state |
4,297 |
4,090 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,150 |
1,083 |
$52K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,161 |
1,115 |
$33K |
| V2020 |
Frames, purchases |
1,959 |
1,868 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
852 |
772 |
$22K |
| 92083 |
|
727 |
681 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
709 |
646 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
335 |
310 |
$14K |
| 92133 |
|
424 |
407 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
65 |
63 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
302 |
166 |
$3K |
| 92002 |
|
40 |
40 |
$2K |
| 92225 |
|
29 |
12 |
$362.37 |
| 92370 |
|
13 |
12 |
$271.04 |