| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,972 |
1,512 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,996 |
3,388 |
$55K |
| V2020 |
Frames, purchases |
2,505 |
2,053 |
$37K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,332 |
1,893 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
431 |
344 |
$26K |
| 92015 |
Determination of refractive state |
2,743 |
2,151 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,543 |
1,375 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
108 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
375 |
234 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$293.95 |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
73 |
71 |
$1.29 |
| T1015 |
Clinic visit/encounter, all-inclusive |
88 |
79 |
$0.00 |