| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,374 |
4,181 |
$287K |
| V2020 |
Frames, purchases |
5,619 |
5,403 |
$264K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,569 |
1,495 |
$100K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,614 |
1,553 |
$88K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,167 |
2,081 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,991 |
4,807 |
$23K |
| 92015 |
Determination of refractive state |
6,160 |
5,897 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
233 |
210 |
$11K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
353 |
335 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
884 |
853 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
72 |
69 |
$4K |
| 92310 |
|
27 |
27 |
$645.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$422.10 |
| 92341 |
|
343 |
320 |
$226.00 |