| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,684 |
4,536 |
$372K |
| V2020 |
Frames, purchases |
4,264 |
3,937 |
$150K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,377 |
4,124 |
$97K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,846 |
1,558 |
$81K |
| 92015 |
Determination of refractive state |
6,396 |
6,207 |
$76K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,698 |
3,381 |
$74K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
743 |
723 |
$67K |
| 92341 |
|
806 |
760 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
269 |
172 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
127 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
253 |
138 |
$7K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
28 |
14 |
$1K |
| 92250 |
|
38 |
38 |
$987.56 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
19 |
12 |
$663.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$440.66 |
| 92133 |
|
15 |
13 |
$362.68 |