| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
728 |
711 |
$63K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
841 |
820 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
739 |
724 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
421 |
384 |
$15K |
| 92015 |
Determination of refractive state |
552 |
522 |
$7K |
| V2020 |
Frames, purchases |
185 |
168 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
42 |
$3K |
| 92002 |
|
33 |
32 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
29 |
27 |
$939.50 |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
29 |
29 |
$932.50 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
16 |
$751.01 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
81 |
78 |
$617.00 |
| V2760 |
Scratch resistant coating, per lens |
65 |
64 |
$130.00 |