| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,388 |
6,073 |
$257K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,496 |
6,135 |
$191K |
| 92015 |
Determination of refractive state |
10,875 |
10,306 |
$189K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,081 |
4,665 |
$107K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,566 |
1,467 |
$70K |
| V2020 |
Frames, purchases |
1,096 |
1,031 |
$31K |
| 92002 |
|
563 |
530 |
$15K |
| 92341 |
|
483 |
467 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
387 |
366 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110 |
105 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
49 |
43 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
136 |
128 |
$727.50 |
| V2025 |
Deluxe frame |
26 |
26 |
$280.80 |
| 92134 |
|
12 |
12 |
$104.00 |
| 99072 |
|
18 |
17 |
$25.00 |
| 3072F |
|
186 |
182 |
$0.00 |