| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,618 |
5,022 |
$323K |
| 92015 |
Determination of refractive state |
10,772 |
9,698 |
$172K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,178 |
2,979 |
$85K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
936 |
872 |
$75K |
| V2020 |
Frames, purchases |
1,661 |
1,543 |
$51K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
769 |
706 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,710 |
1,590 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
287 |
261 |
$3K |
| 92341 |
|
68 |
68 |
$2K |
| 00000 |
|
76 |
21 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
37 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
40 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16 |
16 |
$442.12 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
13 |
$171.72 |