| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,865 |
4,695 |
$324K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,186 |
2,120 |
$196K |
| V2020 |
Frames, purchases |
6,837 |
6,184 |
$195K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,772 |
5,531 |
$176K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,592 |
6,017 |
$143K |
| 92015 |
Determination of refractive state |
7,330 |
6,982 |
$36K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,986 |
4,399 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
875 |
730 |
$30K |
| 92370 |
|
532 |
512 |
$14K |
| V2760 |
Scratch resistant coating, per lens |
4,518 |
4,122 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
84 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
92 |
82 |
$4K |
| 92250 |
|
13 |
12 |
$491.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$365.51 |