| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,356 |
2,300 |
$143K |
| V2020 |
Frames, purchases |
2,642 |
2,498 |
$65K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
647 |
638 |
$57K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,172 |
1,115 |
$23K |
| 92250 |
|
547 |
509 |
$19K |
| 92082 |
|
565 |
505 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
311 |
294 |
$10K |
| V2756 |
Eye glass case |
2,439 |
2,337 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
29 |
28 |
$831.15 |
| 92083 |
|
15 |
15 |
$524.34 |
| 92133 |
|
15 |
15 |
$386.29 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
12 |
$165.88 |
| 92015 |
Determination of refractive state |
3,385 |
3,318 |
$15.05 |