| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,071 |
6,871 |
$290K |
| 92250 |
|
6,002 |
5,887 |
$268K |
| V2020 |
Frames, purchases |
10,338 |
10,044 |
$160K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,575 |
2,536 |
$125K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,720 |
5,350 |
$109K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,934 |
2,533 |
$47K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,155 |
1,071 |
$26K |
| 92015 |
Determination of refractive state |
898 |
888 |
$21K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
898 |
726 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
852 |
834 |
$12K |
| 92145 |
|
451 |
442 |
$10K |
| 92341 |
|
328 |
318 |
$6K |
| 92083 |
|
86 |
86 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
799 |
599 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
54 |
52 |
$2K |
| 92285 |
|
50 |
44 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$374.70 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
134 |
69 |
$336.56 |
| V2025 |
Deluxe frame |
145 |
145 |
$0.00 |
| V2755 |
U-v lens, per lens |
192 |
96 |
$0.00 |