| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,070 |
1,792 |
$102K |
| 92015 |
Determination of refractive state |
3,282 |
2,885 |
$60K |
| V2020 |
Frames, purchases |
2,566 |
2,222 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,937 |
1,736 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
603 |
555 |
$42K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
973 |
755 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,521 |
2,207 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
965 |
636 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
25 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$677.90 |