| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,415 |
3,261 |
$145K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,318 |
2,192 |
$106K |
| 92015 |
Determination of refractive state |
5,746 |
5,451 |
$101K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,322 |
2,903 |
$96K |
| V2025 |
Deluxe frame |
1,450 |
1,393 |
$83K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,670 |
3,256 |
$71K |
| V2020 |
Frames, purchases |
3,137 |
2,733 |
$30K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,059 |
2,650 |
$29K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
663 |
593 |
$19K |
| 92250 |
|
465 |
426 |
$17K |
| 92341 |
|
471 |
439 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
91 |
91 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
77 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
59 |
54 |
$704.00 |