| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,488 |
3,238 |
$150K |
| 92015 |
Determination of refractive state |
6,551 |
6,036 |
$117K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,502 |
2,274 |
$113K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,460 |
3,161 |
$100K |
| V2025 |
Deluxe frame |
1,794 |
1,715 |
$52K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,410 |
3,122 |
$51K |
| V2020 |
Frames, purchases |
2,670 |
2,440 |
$21K |
| 92341 |
|
679 |
647 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,753 |
2,489 |
$19K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
718 |
683 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
165 |
154 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$939.46 |