| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,471 |
3,017 |
$298K |
| 92015 |
Determination of refractive state |
3,990 |
3,516 |
$138K |
| V2020 |
Frames, purchases |
2,664 |
2,310 |
$81K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,946 |
1,728 |
$64K |
| 92250 |
|
1,306 |
1,187 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,623 |
2,285 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
322 |
303 |
$35K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
69 |
61 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
64 |
45 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
15 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
69 |
51 |
$0.00 |