| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,952 |
2,894 |
$258K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,905 |
2,793 |
$231K |
| V2025 |
Deluxe frame |
4,272 |
3,849 |
$207K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,228 |
3,790 |
$81K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,294 |
2,446 |
$51K |
| 92015 |
Determination of refractive state |
3,780 |
3,712 |
$50K |
| V2020 |
Frames, purchases |
1,261 |
1,104 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
254 |
246 |
$26K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,035 |
958 |
$25K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
625 |
269 |
$18K |
| 92342 |
|
194 |
190 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$1K |
| 92060 |
|
28 |
28 |
$1K |