| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,994 |
1,975 |
$134K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
761 |
746 |
$61K |
| V2020 |
Frames, purchases |
1,951 |
1,915 |
$48K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,855 |
1,406 |
$44K |
| 92015 |
Determination of refractive state |
3,028 |
2,984 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,383 |
1,361 |
$27K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,779 |
1,857 |
$16K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
466 |
228 |
$8K |
| 92341 |
|
187 |
180 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$721.22 |