| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,158 |
1,109 |
$79K |
| V2020 |
Frames, purchases |
2,300 |
2,211 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
687 |
662 |
$37K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,293 |
2,207 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,980 |
1,900 |
$31K |
| 92015 |
Determination of refractive state |
1,824 |
1,755 |
$14K |
| 92341 |
|
265 |
260 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
37 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,891 |
1,825 |
$33.14 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
222 |
219 |
$3.36 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$0.22 |