| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,273 |
3,173 |
$288K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,744 |
3,654 |
$244K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,910 |
4,762 |
$220K |
| V2020 |
Frames, purchases |
4,743 |
4,391 |
$140K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,517 |
3,357 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,485 |
1,352 |
$56K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
656 |
602 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
463 |
425 |
$30K |
| 92015 |
Determination of refractive state |
1,555 |
1,449 |
$22K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,339 |
2,185 |
$17K |
| 92002 |
|
205 |
196 |
$10K |
| 92341 |
|
124 |
123 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
182 |
154 |
$5K |
| V2760 |
Scratch resistant coating, per lens |
2,123 |
2,047 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
45 |
44 |
$3K |
| 92370 |
|
69 |
63 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
37 |
37 |
$2K |
| 92083 |
|
16 |
14 |
$675.95 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
46 |
26 |
$399.00 |