| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,170 |
4,067 |
$278K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,737 |
4,584 |
$245K |
| 92015 |
Determination of refractive state |
5,484 |
5,333 |
$221K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,014 |
5,827 |
$172K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,170 |
1,128 |
$104K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,581 |
4,449 |
$84K |
| V2020 |
Frames, purchases |
4,666 |
4,498 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
917 |
889 |
$33K |
| 92065 |
|
528 |
221 |
$17K |
| 92060 |
|
522 |
496 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
136 |
127 |
$6K |
| 92066 |
|
149 |
56 |
$3K |
| V2199 |
Not otherwise classified, single vision lens |
130 |
130 |
$1K |
| 96112 |
|
12 |
12 |
$1K |
| 96113 |
|
12 |
12 |
$514.18 |