| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,288 |
1,257 |
$51K |
| 92250 |
|
1,387 |
1,338 |
$45K |
| V2020 |
Frames, purchases |
977 |
936 |
$32K |
| 92015 |
Determination of refractive state |
1,620 |
1,585 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
852 |
823 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
394 |
387 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
616 |
597 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
368 |
353 |
$3K |
| 92341 |
|
89 |
80 |
$3K |
| 92083 |
|
99 |
94 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
91 |
90 |
$1K |
| 92273 |
|
13 |
13 |
$528.97 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
18 |
$414.99 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$335.82 |