| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,706 |
1,481 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
709 |
609 |
$61K |
| V2020 |
Frames, purchases |
2,306 |
1,919 |
$50K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,271 |
1,929 |
$44K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,955 |
1,613 |
$43K |
| 92015 |
Determination of refractive state |
2,586 |
2,196 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
518 |
440 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
72 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
34 |
34 |
$993.08 |
| 92250 |
|
68 |
65 |
$402.05 |
| 92100 |
|
620 |
548 |
$286.84 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
29 |
12 |
$0.00 |