| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,222 |
2,189 |
$85K |
| V2020 |
Frames, purchases |
2,521 |
2,478 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
793 |
783 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,081 |
1,060 |
$23K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
822 |
811 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,535 |
1,504 |
$15K |
| 92015 |
Determination of refractive state |
2,494 |
2,449 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$647.22 |
| 92310 |
|
12 |
12 |
$0.00 |