| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,639 |
3,420 |
$271K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,884 |
2,716 |
$229K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,371 |
1,321 |
$27K |
| V2020 |
Frames, purchases |
1,300 |
1,252 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,996 |
1,931 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,685 |
1,620 |
$7K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
202 |
198 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
58 |
$2K |
| 92015 |
Determination of refractive state |
653 |
650 |
$786.08 |
| 92341 |
|
107 |
105 |
$330.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
24 |
$96.54 |
| V2760 |
Scratch resistant coating, per lens |
1,389 |
1,344 |
$0.00 |
| 2022F |
|
495 |
488 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
183 |
183 |
$0.00 |